Spurlock, Luther D.
Spurlock, Luther D. is an individual health care provider with primary practice located at 1100 W 10Th St Suite 160, Rolla MO 65401-2937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spurlock, Luther D. can be contacted via phone (573) 341-3043.Contact Information
Primary practice address
1100 W 10Th St Suite 160
Rolla MO 65401-2937
Phone: (573) 341-3043
Fax: (573) 341-5208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 107151 | Missouri |
Profile Details
| NPI number | 1194881748 |
|---|---|
| LBN Legal business name | Spurlock, Luther D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | May 2nd, 2013 - about 13 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 | 1194881748 | NPPES |
| Other | 10855655 | CAQH PROVIDER ID | |
| MEDICAID | 207874405 | CAQH PROVIDER ID |
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