Spanos, Wendy Leigh

Spanos, Wendy Leigh is an individual health care provider with primary practice located at 1107 E Matthews Ave Suite 103, Jonesboro AR 72401-4315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spanos, Wendy Leigh can be contacted via phone (870) 935-0700.

Contact Information

Primary practice address
1107 E Matthews Ave Suite 103 Jonesboro AR 72401-4315
Fax: (870) 935-0706
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C7731 Arkansas

Profile Details

NPI number 1629037585
LBN Legal business name Spanos, Wendy Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629037585 NPPES
Arkansas MEDICAID 124127001

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