Spivack, Laurence W

Spivack, Laurence W is an individual health care provider with primary practice located at 9330 Hidden Glen Dr , Mentor OH 44060. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spivack, Laurence W can be contacted via phone (440) 487-3947.

Contact Information

Primary practice address
9330 Hidden Glen Dr Mentor OH 44060
Phone: (440) 487-3947
Fax: (513) 858-7827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36001535 Ohio

Profile Details

NPI number 1043215817
LBN Legal business name Spivack, Laurence W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043215817 NPPES
Ohio Other 000000242733 ANTHEM
Ohio Other 016307 ANTHEM
Ohio MEDICAID 0161999 ANTHEM

Popular Providers