Spivack, Alan R
Spivack, Alan R is an sole proprietor health care provider with primary practice located at 313 Morristown Ct , Chesterfield MO 63017-3426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spivack, Alan R can be contacted via phone (314) 275-2211.Contact Information
Primary practice address
313 Morristown Ct
Chesterfield MO 63017-3426
Phone: (314) 275-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29603 | Missouri |
Profile Details
| NPI number | 1962491712 |
|---|---|
| LBN Legal business name | Spivack, Alan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Nov 20th, 2007 - about 17 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 | 1962491712 | NPPES |
| Missouri | Other | 1962491712 | RAILROAD MEDICARE NPI |
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