Spillane, Thomas J

Spillane, Thomas J is an individual health care provider with primary practice located at 715 Tank Farm Road Suite C, San Luis Obispo CA 93401-7068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Spillane, Thomas J can be contacted via phone (805) 543-5577.

Contact Information

Primary practice address
715 Tank Farm Road Suite C San Luis Obispo CA 93401-7068
Phone: (805) 543-5577
Fax: (805) 595-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G79734 California

Profile Details

NPI number 1477558435
LBN Legal business name Spillane, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 8th, 2023 - about 2 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 1477558435 NPPES
Other S113351 INTEGRATED HEALTH PLAN PI
MEDICAID 00G797340 INTEGRATED HEALTH PLAN PI
Other 00G797340 INTEGRATED HEALTH PLAN PI
Other 1018 INTEGRATED HEALTH PLAN PI
Other CA164416 INTEGRATED HEALTH PLAN PI

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