Spottswood, Paul G

Spottswood, Paul G is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Spottswood, Paul G can be contacted via phone (262) 656-2011.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 27329-020 Wisconsin

Profile Details

NPI number 1124002282
LBN Legal business name Spottswood, Paul G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 15th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124002282 NPPES
Other P00318136 RAIL ROAD MEDICARE
MEDICAID 30668700 RAIL ROAD MEDICARE

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