DPT/MS Jack Anthony Spatafore, NPI 1093711657
Specialist in Bridgeport, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093711657 |
| NPI Entity Type | Individual |
| Provider Name | DPT/MS Jack Anthony Spatafore |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 306 W Main St, Bridgeport, WV, US |
| Provider Mailing Address | 306 W Main St, Bridgeport, WV, US, 263301751 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| License No. | 002038 |
| License State | WV |
| Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
002038 | WV | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 01071873100 | WV | WV WORKERS' COMPENSATION | 01 |
| 1382862 | WV | UMWA | 01 |
| 7305012-001 | WV | MEDICAID | 05 |
| WV51916B | WV | HEALTH PLAN | 01 |
| 701615 | WV | AETNA | 01 |
| 650023875 | WV | RAILROAD MEDICARE | 01 |
| 010718731004 | WV | BLUE CROSS | 01 |
| 135810 | WV | HEALTH ASSURANCE | 01 |
| 398789 | WV | OPTIMUM CHOICE | 01 |
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