Spivack, George
Spivack, George is an individual health care provider with primary practice located at 97 Barnes Rd , Wallingford CT 06492-1885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Spivack, George can be contacted via phone (203) 284-3137.Contact Information
Primary practice address
97 Barnes Rd
Wallingford CT 06492-1885
Phone: (203) 284-3137
Fax: (203) 284-3130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27399 | Connecticut |
Profile Details
| NPI number | 1720017049 |
|---|---|
| LBN Legal business name | Spivack, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Apr 29th, 2008 - about 18 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 | 1720017049 | NPPES |
| Connecticut | MEDICAID | 1273994 |
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