Spisak-Dial, Patricia Helen
Spisak-Dial, Patricia Helen is an individual health care provider with primary practice located at 1700 S 23Rd St , Fort Pierce FL 34950-4803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spisak-Dial, Patricia Helen can be contacted via phone (772) 468-4551.Contact Information
Primary practice address
1700 S 23Rd St
Fort Pierce FL 34950-4803
Phone: (772) 468-4551
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2822282 | Florida |
Profile Details
NPI number | 1912958851 |
---|---|
LBN Legal business name | Spisak-Dial, Patricia Helen |
Credentials | MSN, ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Apr 1st, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912958851 | NPPES |
Other | 14213142 | CAQH | |
MEDICAID | 3081184 00 | CAQH |
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