Sporleder, Patrick G.

Sporleder, Patrick G. is an sole proprietor health care provider with primary practice located at 3527 W Truman Blvd , Jefferson City MO 65109-5715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sporleder, Patrick G. can be contacted via phone (573) 761-7979.

Contact Information

Primary practice address
3527 W Truman Blvd Jefferson City MO 65109-5715
Phone: (573) 761-7979
Fax: (573) 761-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4N43 Missouri

Profile Details

NPI number 1922099506
LBN Legal business name Sporleder, Patrick G.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Oct 7th, 2015 - about 11 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 1922099506 NPPES
Missouri MEDICAID 243057858

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