Spitalny, A. Douglas

Spitalny, A. Douglas is an individual health care provider with primary practice located at Mcxp-Ccs-Cr General Leonard Wood Community Hospital, Ft. Leonard Wood MO 65473-1267. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Spitalny, A. Douglas can be contacted via phone (573) 596-1764.

Contact Information

Primary practice address
Mcxp-Ccs-Cr General Leonard Wood Community Hospital Ft. Leonard Wood MO 65473-1267
Phone: (573) 596-1764
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 748 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 748 Minnesota

Profile Details

NPI number 1568405330
LBN Legal business name Spitalny, A. Douglas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 13th, 2023 - about last year

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 1568405330 NPPES
Minnesota MEDICAID 594197100

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