Benjamin Luke Spurgeon
Sports Medicine
1711 6th St S
Moorhead
, Minnesota 56560-3438
Benjamin Luke Spurgeon
Sports Medicine
1711 6th St S
Moorhead
, Minnesota 56560-3438
(641) 208-6449
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Benjamin Luke Spurgeon
- 2751 36th Ave S Apt 302
- Fargo, ND
- Zip : 58104-8825
- Phone : (641) 208-6449
Second Address
- Benjamin Luke Spurgeon
- 1711 6th St S
- Moorhead, MN
- Zip : 56560-3438
- Phone : (218) 477-2889
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 3468 | MN |
| Y | 213ES0000X | Sports Medicine | 3468 | MN |
National Provider Identifier
| NPI | 1316497621 |
|---|---|
| Provider Name | Benjamin Luke Spurgeon |
| First Address | Fargo, ND 58104-8825 |
| Second Address | Moorhead, MN 56560-3438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2016 |
| Last Update Date | 16/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.