Spitzberg, Jack W
Spitzberg, Jack W is an individual health care provider with primary practice located at 8440 Walnut Hill Ln Ste 400 , Dallas TX 75231-3879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Spitzberg, Jack W can be contacted via phone (214) 369-3613.Contact Information
Primary practice address
8440 Walnut Hill Ln Ste 400
Dallas TX 75231-3879
Phone: (214) 369-3613
Fax: (214) 369-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E4085 | Texas |
Profile Details
| NPI number | 1619976966 |
|---|---|
| LBN Legal business name | Spitzberg, Jack W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619976966 | NPPES |
| Texas | MEDICAID | 116656301 | |
| Texas | Other | 110044853 | |
| Texas | Other | 060036467 | |
| Texas | MEDICAID | 116656303 | |
| Texas | Other | P00044329 | |
| Texas | Other | 80A132 |
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