Spano, Dennis Charles

Spano, Dennis Charles is an individual health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spano, Dennis Charles can be contacted via phone (651) 345-3321.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-3321
Fax: (651) 345-1151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36426 Minnesota

Profile Details

NPI number 1033195656
LBN Legal business name Spano, Dennis Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 1st, 2018 - about 7 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 1033195656 NPPES
Other 49A86SP BCBS
Other 118169 BCBS
Other MH9101008904 BCBS
Other 080125255 BCBS
MEDICAID 925515000 BCBS
Other 0113159 BCBS

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