Spongberg, Andrew K
Spongberg, Andrew K is an individual health care provider with primary practice located at 535 Faunce Corner Rd , Dartmouth MA 02747-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Spongberg, Andrew K can be contacted via phone (508) 996-3991.Contact Information
Primary practice address
535 Faunce Corner Rd
Dartmouth MA 02747-1242
Phone: (508) 996-3991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 33195 | Massachusetts |
Profile Details
| NPI number | 1619943560 |
|---|---|
| LBN Legal business name | Spongberg, Andrew K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 7th, 2018 - about 6 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 | 1619943560 | NPPES |
| Massachusetts | MEDICAID | 3084086 |
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