Spisak, Donald A

Spisak, Donald A is an individual health care provider with primary practice located at 401 Windsor Green Ct Ste 101 , Goodlettsville TN 37072-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spisak, Donald A can be contacted via phone (615) 859-8488.

Contact Information

Primary practice address
401 Windsor Green Ct Ste 101 Goodlettsville TN 37072-2237
Phone: (615) 859-8488
Fax: (615) 859-8696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014417 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A10274 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO2092 Tennessee

Profile Details

NPI number 1699737056
LBN Legal business name Spisak, Donald A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 25th, 2022 - about 4 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 1699737056 NPPES
Tennessee MEDICAID 1519636

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