Spina, John H

Spina, John H is an individual health care provider with primary practice located at 153 4Th Ave , Brooklyn NY 11217-3108. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spina, John H can be contacted via phone (718) 230-5811.

Contact Information

Primary practice address
153 4Th Ave Brooklyn NY 11217-3108
Phone: (718) 230-5811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004971 New York

Profile Details

NPI number 1265425144
LBN Legal business name Spina, John H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 9th, 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 1265425144 NPPES
New York MEDICAID 01296386

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