Speck, David Dean

Speck, David Dean is an sole proprietor health care provider with primary practice located at 35 Arterial W , Auburn NY 13021-2785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Speck, David Dean can be contacted via phone (315) 253-8495.

Contact Information

Primary practice address
35 Arterial W Auburn NY 13021-2785
Fax: (315) 253-8496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 142615-1 New York

Profile Details

NPI number 1528069986
LBN Legal business name Speck, David Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jul 2nd, 2010 - 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 1528069986 NPPES
New York MEDICAID 00764109-2

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