Spatafora, Robert Eugene

Spatafora, Robert Eugene is an sole proprietor health care provider with primary practice located at 2212 Justice St , Monroe LA 71201-3620. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spatafora, Robert Eugene can be contacted via phone (318) 325-5764.

Contact Information

Primary practice address
2212 Justice St Monroe LA 71201-3620
Phone: (318) 325-5764
Fax: (318) 325-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3206 Louisiana

Profile Details

NPI number 1952325680
LBN Legal business name Spatafora, Robert Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1952325680 NPPES
Louisiana MEDICAID 1832065

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