Spivak, Michael

Spivak, Michael is an individual health care provider with primary practice located at 969 Reading Rd Ste N , Mason OH 45040-2654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Spivak, Michael can be contacted via phone (513) 604-1004.

Contact Information

Primary practice address
969 Reading Rd Ste N Mason OH 45040-2654
Phone: (513) 604-1004
Fax: (513) 437-0571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-14261 Ohio

Profile Details

NPI number 1437499076
LBN Legal business name Spivak, Michael
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2013
Last updated Apr 22nd, 2020 - about 5 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 1437499076 NPPES
Kentucky MEDICAID 7100510650
Kentucky MEDICAID 0079958

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