Spellman, Edward Lewis

Spellman, Edward Lewis is an individual health care provider with primary practice located at 7000 Boulder Ave , Highland CA 92346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Spellman, Edward Lewis can be contacted via phone (909) 862-1191.

Contact Information

Primary practice address
7000 Boulder Ave Highland CA 92346
Phone: (909) 862-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 031860 Connecticut

Profile Details

NPI number 1558303727
LBN Legal business name Spellman, Edward Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 15th, 2018 - about 7 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 1558303727 NPPES
Other 250952200 DEPT OF LABOR
Other 061325634 DEPT OF LABOR
Other 061325634 DEPT OF LABOR
Other 010031860CT01 DEPT OF LABOR
Other 061325634 DEPT OF LABOR
Other 140400 DEPT OF LABOR
Other NHS133 DEPT OF LABOR
Other 031860 DEPT OF LABOR
Other 130009173 DEPT OF LABOR
MEDICAID 001318600 DEPT OF LABOR
Other 00131860000 DEPT OF LABOR
Other 0983647004 DEPT OF LABOR
Other 061325634 DEPT OF LABOR
Other 06132S634 DEPT OF LABOR
Other 0613Z5634 DEPT OF LABOR
Other OR0088 DEPT OF LABOR

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