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Contact Information

EARLE W. SPOHN JR. D.O. P.C.
27 BALFOUR DR
BLOOMFIELD HILLS, MI48304
 Phone: 248-646-8411
 Fax: 248-646-2296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EARLE W. SPOHN JR. D.O. P.C.

NPI Number 1578887535
LBN Legal business name EARLE W. SPOHN JR. D.O. P.C.
Authorized official EARLE SPOHN - (PRESIDENT-SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/19/2010
Last updated 07/28/2010 - About 16 years ago
Identifiers
MI License # 5101005851
MI Medicaid 1561975
MI Other 0258217514 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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