Spearman, Dan R

Spearman, Dan R is an individual health care provider with primary practice located at 2140 Smith St , Orange Park FL 32073-5554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spearman, Dan R can be contacted via phone (904) 269-2145.

Contact Information

Primary practice address
2140 Smith St Orange Park FL 32073-5554
Fax: (904) 278-5038
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME20998 Florida

Profile Details

NPI number 1962475905
LBN Legal business name Spearman, Dan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 21st, 2018 - about 6 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 1962475905 NPPES
Florida MEDICAID 0351113-00

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