Spore, John Michael
Spore, John Michael is an individual health care provider with primary practice located at 901 Burnett Dr , Mountain Home AR 72653-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Spore, John Michael can be contacted via phone (870) 425-9120.Contact Information
Primary practice address
901 Burnett Dr
Mountain Home AR 72653-2908
Phone: (870) 425-9120
Fax: (870) 424-4470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N7593 | Arkansas |
Profile Details
| NPI number | 1275540502 |
|---|---|
| LBN Legal business name | Spore, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Aug 27th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275540502 | NPPES |
| Arkansas | MEDICAID | 115393001 |
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