Spivack, Jonathan W.

Spivack, Jonathan W. is an individual health care provider with primary practice located at 75 Pringle Way Ste 401 , Reno NV 89502-1476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Spivack, Jonathan W. can be contacted via phone (775) 982-5000.

Contact Information

Primary practice address
75 Pringle Way Ste 401 Reno NV 89502-1476
Phone: (775) 982-5000
Fax: (775) 982-2973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 38942-020 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 12472 Nevada

Profile Details

NPI number 1497790513
LBN Legal business name Spivack, Jonathan W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 15th, 2018 - about 8 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 1497790513 NPPES
Other 11006113 CAQH
Other P01019331 CAQH
MEDICAID 1497790513 CAQH

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