Speca, John M
Speca, John M is an individual health care provider with primary practice located at 785 Ohio Ave Ste 1H , Clarksdale MS 38614-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Speca, John M can be contacted via phone (662) 621-2438.Contact Information
Primary practice address
785 Ohio Ave Ste 1H
Clarksdale MS 38614-6213
Phone: (662) 621-2438
Fax: (662) 621-2469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-070970 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 47677 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 23479 | Mississippi |
Profile Details
| NPI number | 1659330090 |
|---|---|
| LBN Legal business name | Speca, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659330090 | NPPES |
| Mississippi | Other | P01676197 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 036070970 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 08870040 | RAILROAD MEDICARE PTAN |
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