Spar, Jon A

Spar, Jon A is an individual health care provider with primary practice located at 1397 Weimer Rd , Taos NM 87571-6253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Spar, Jon A can be contacted via phone (575) 758-8883.

Contact Information

Primary practice address
1397 Weimer Rd Taos NM 87571-6253
Phone: (575) 758-8883
Fax: (303) 468-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 85-291 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 85-291 New Mexico

Profile Details

NPI number 1275505182
LBN Legal business name Spar, Jon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 2nd, 2020 - about 5 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 1275505182 NPPES
Other P00218005 RAILROAD MEDICARE
Other PROVP16183 RAILROAD MEDICARE
Other 201009513 RAILROAD MEDICARE
MEDICAID 293431 RAILROAD MEDICARE
Other NM009U95 RAILROAD MEDICARE
Other 10001634 RAILROAD MEDICARE
MEDICAID 13797 RAILROAD MEDICARE

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