Spankovich, Christopher

Spankovich, Christopher is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Spankovich, Christopher can be contacted via phone (601) 984-4550.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Fax: (601) 984-5085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A3968 Mississippi
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1666 Florida

Profile Details

NPI number 1447646989
LBN Legal business name Spankovich, Christopher
Credentials AU.D., PH.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Aug 7th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447646989 NPPES
Mississippi MEDICAID 07585560

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