Spann, Christa D
Spann, Christa D is an sole proprietor health care provider with primary practice located at 5415 Summerville Rd Suite B, Phenix City AL 36867-7401. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Spann, Christa D can be contacted via phone (334) 297-7100.Contact Information
Primary practice address
5415 Summerville Rd Suite B
Phenix City AL 36867-7401
Phone: (334) 297-7100
Fax: (334) 297-7065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5020 | Alabama |
Profile Details
| NPI number | 1740330273 |
|---|---|
| LBN Legal business name | Spann, Christa D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Apr 8th, 2010 - about 16 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 | 1740330273 | NPPES |
| Alabama | MEDICAID | 529911080 |
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