Spradling, Edd

Spradling, Edd is an individual health care provider with primary practice located at 2004 E Randol Mill Rd Ste 503, Arlington TX 76011-8292. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Spradling, Edd can be contacted via phone (817) 299-8012.

Contact Information

Primary practice address
2004 E Randol Mill Rd Ste 503 Arlington TX 76011-8292
Phone: (817) 299-8012
Fax: (817) 299-8095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 4465 Texas

Profile Details

NPI number 1467743179
LBN Legal business name Spradling, Edd
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Apr 28th, 2011 - about 14 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 1467743179 NPPES
Texas MEDICAID 208761101
Texas MEDICAID 208761102
Texas MEDICAID 208761103

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