Spack, Michael

Spack, Michael is an individual health care provider with primary practice located at 1342 South Division Street Unit 401, Peninsula Urology Associates Pa, Salisbury MD 21084. 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. Spack, Michael can be contacted via phone (410) 546-2133.

Contact Information

Primary practice address
1342 South Division Street Unit 401, Peninsula Urology Associates Pa Salisbury MD 21084
Phone: (410) 546-2133
Fax: (410) 548-3361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0001119 Maryland

Profile Details

NPI number 1073573572
LBN Legal business name Spack, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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