Spurgeon, Eric

Spurgeon, Eric is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Spurgeon, Eric can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS-09084 Iowa

Profile Details

NPI number 1962816587
LBN Legal business name Spurgeon, Eric
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Jun 12th, 2014 - about 12 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 1962816587 NPPES
Iowa MEDICAID 0076372

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