Sypherd, Dirk Spencer
Sypherd, Dirk Spencer is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 801, Spokane WA 99204-2966. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Sypherd, Dirk Spencer can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
910 W 5Th Ave Suite 801
Spokane WA 99204-2966
Phone: (509) 838-2531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | M8215 | Idaho |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 109260 | Montana |
Allopathic & Osteopathic Physicians / Urology | 208800000X | MD00028526 | Washington |
Profile Details
NPI number | 1073593638 |
---|---|
LBN Legal business name | Sypherd, Dirk Spencer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Dec 22nd, 2022 - about 2 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 | 1073593638 | NPPES |
Idaho | MEDICAID | 002673400 | |
Idaho | MEDICAID | 8552457 |
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