Spruell, Anthony Eugene
Spruell, Anthony Eugene is an sole proprietor health care provider with primary practice located at 2400 S Avenue A , Yuma AZ 85364-7127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Spruell, Anthony Eugene can be contacted via phone (928) 336-7100.Contact Information
Primary practice address
2400 S Avenue A
Yuma AZ 85364-7127
Phone: (928) 336-7100
Fax: (928) 336-7508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3509 | Arizona |
Profile Details
| NPI number | 1417039991 |
|---|---|
| LBN Legal business name | Spruell, Anthony Eugene |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jun 23rd, 2008 - about 16 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 | 1417039991 | NPPES |
| Arizona | MEDICAID | 160445 |
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