Spohn, Earle W

Spohn, Earle W is an sole proprietor health care provider with primary practice located at 7815 East Jefferson Suite 3D, Detroit MI 48214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Spohn, Earle W can be contacted via phone (313) 499-4862.

Contact Information

Primary practice address
7815 East Jefferson Suite 3D Detroit MI 48214
Phone: (313) 499-4862
Fax: (313) 499-4865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101005851 Michigan

Profile Details

NPI number 1083625032
LBN Legal business name Spohn, Earle W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 28th, 2010 - about 16 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 1083625032 NPPES
Michigan Other 0288229095 BCBS
Michigan MEDICAID 1561975 BCBS
Michigan Other 8822909 BCBS

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