National Provider Identifier Database

LAURENCE W SPIVACK, DPM – NPI #1043215817
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

LAURENCE W SPIVACK, DPM
9330 HIDDEN GLEN DR
MENTOR, OH44060
Phone: 440-487-3947
Fax: 513-858-7827
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for LAURENCE W SPIVACK

NPI Number 1043215817
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/16/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 36001535
  • OH Medicaid: 0161999
  • OH Other: 000000242733 ANTHEM
  • OH Other: 016307 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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