Spicher, Jonathan Michael

Spicher, Jonathan Michael is an individual health care provider with primary practice located at 2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Spicher, Jonathan Michael can be contacted via phone (541) 274-8400.

Contact Information

Primary practice address
2821 Daggett Ave Ste 200 Klamath Falls OR 97601-1106
Phone: (541) 274-8400
Fax: (541) 274-8405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD179227 Oregon

Profile Details

NPI number 1558758615
LBN Legal business name Spicher, Jonathan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558758615 NPPES
Oregon MEDICAID 500713548

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