Spoo, Jeffrey Edward

Spoo, Jeffrey Edward is an individual health care provider with primary practice located at 2342 Professional Pkwy #200, Santa Maria CA 93455-1630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Spoo, Jeffrey Edward can be contacted via phone (805) 349-9545.

Contact Information

Primary practice address
2342 Professional Pkwy #200 Santa Maria CA 93455-1630
Fax: (805) 349-8025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G85800 California

Profile Details

NPI number 1053374694
LBN Legal business name Spoo, Jeffrey Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 19th, 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 1053374694 NPPES
California MEDICAID 00G858000

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