Spanogle, Joshua Paul

Spanogle, Joshua Paul is an individual health care provider with primary practice located at 2290 Sacramento St , Vallejo CA 94590-2929. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Spanogle, Joshua Paul can be contacted via phone (707) 643-5785.

Contact Information

Primary practice address
2290 Sacramento St Vallejo CA 94590-2929
Phone: (707) 643-5785
Fax: (707) 643-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 51287 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A116055 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A116055 California

Profile Details

NPI number 1750564407
LBN Legal business name Spanogle, Joshua Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Mar 10th, 2014 - about 12 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 1750564407 NPPES
Minnesota Other P00773912 MEDICARE, RAILROAD
Minnesota MEDICAID ENROLLED MEDICARE, RAILROAD

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