Spiller, Paul Craig
Spiller, Paul Craig is an individual health care provider with primary practice located at 1507 Rivery Blvd , Georgetown TX 78628-3058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spiller, Paul Craig can be contacted via phone (512) 509-9550.Contact Information
Primary practice address
1507 Rivery Blvd
Georgetown TX 78628-3058
Phone: (512) 509-9550
Fax: (512) 509-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 040557 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22040 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q7483 | Texas |
Profile Details
| NPI number | 1154320935 |
|---|---|
| LBN Legal business name | Spiller, Paul Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 21st, 2017 - about 9 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 | 1154320935 | NPPES |
| South Carolina | MEDICAID | 220406 | |
| South Carolina | MEDICAID | GP4210 | |
| South Carolina | MEDICAID | 000672229F | |
| South Carolina | Other | 202660098 |
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