Spradlin, Elisa M

Spradlin, Elisa M is an individual health care provider with primary practice located at 100 W Dean Keeton St Stop A101 , Austin TX 78712-1091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spradlin, Elisa M can be contacted via phone (512) 475-8235.

Contact Information

Primary practice address
100 W Dean Keeton St Stop A101 Austin TX 78712-1091
Phone: (512) 475-8235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L-0503 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-1889 Arkansas

Profile Details

NPI number 1730183443
LBN Legal business name Spradlin, Elisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 8th, 2020 - about 6 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 1730183443 NPPES
Arkansas MEDICAID 136209001
Arkansas Other 6576964003
Arkansas Other P00126582
Arkansas MEDICAID 1631281
Arkansas MEDICAID 200026540A
Arkansas Other 5K950
Arkansas Other 04070022700
Arkansas Other 7976182
Arkansas Other 2015989
Arkansas MEDICAID 09555297

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