Spight, David W

Spight, David W is an individual health care provider with primary practice located at 15700 37Th Ave N Ste 150 , Plymouth MN 55446-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Spight, David W can be contacted via phone (651) 968-5201.

Contact Information

Primary practice address
15700 37Th Ave N Ste 150 Plymouth MN 55446-3675
Fax: (651) 968-5904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 50983 Minnesota

Profile Details

NPI number 1063414845
LBN Legal business name Spight, David W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 21st, 2022 - 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 1063414845 NPPES
Michigan MEDICAID 4873902

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