Spina, Anthony M
Spina, Anthony M is an individual health care provider with primary practice located at 22 S Washington Ave , Park Ridge IL 60068-4267. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Spina, Anthony M can be contacted via phone (847) 268-3910.Contact Information
Primary practice address
22 S Washington Ave
Park Ridge IL 60068-4267
Phone: (847) 268-3910
Fax: (847) 897-3118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019022251 | Illinois |
Profile Details
| NPI number | 1508850272 |
|---|---|
| LBN Legal business name | Spina, Anthony M |
| Credentials | DDS MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Oct 12th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508850272 | NPPES |
| Illinois | MEDICAID | 019022251 |
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