Spanbauer, Mark Reid
Spanbauer, Mark Reid is an individual health care provider with primary practice located at 111 17Th Ave E , Alexandria MN 56308-3703. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Spanbauer, Mark Reid can be contacted via phone (320) 762-6072.Contact Information
Primary practice address
111 17Th Ave E
Alexandria MN 56308-3703
Phone: (320) 762-6072
Fax: (320) 762-6145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 23646 | Minnesota |
Profile Details
| NPI number | 1619967890 |
|---|---|
| LBN Legal business name | Spanbauer, Mark Reid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 28th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619967890 | NPPES |
| Minnesota | Other | 115090 | UCARE |
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