Spellman, Craig W

Spellman, Craig W is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Spellman, Craig W can be contacted via phone (432) 703-5379.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 703-5379
Fax: (432) 703-5972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J2351 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X J2351 Texas

Profile Details

NPI number 1174587935
LBN Legal business name Spellman, Craig W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 4th, 2021 - about 3 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 1174587935 NPPES
Texas MEDICAID 125474003

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