Dr. Laurence W Spivack
Podiatrist
9330 Hidden Glen Dr
Mentor
, Ohio 44060
Dr. Laurence W Spivack
Podiatrist
9330 Hidden Glen Dr
Mentor
, Ohio 44060
(513) 858-7827
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Laurence W Spivack
- 9330 Hidden Glen Dr
- Mentor, OH
- Zip : 44060-7362
- Fax : (513) 858-7827
- Phone : (440) 487-3947
Second Address
- Dr. Laurence W Spivack
- 9330 Hidden Glen Dr
- Mentor, OH
- Zip : 44060
- Fax : (513) 858-7827
- Phone : (440) 487-3947
Reviews
FAQs
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Is Dr. Laurence W Spivack a sole practitioner?
Is Dr. Laurence W Spivack accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36001535 | OH |
| Y | 222Z00000X | Podiatrist | 36001535 | OH |
National Provider Identifier
| NPI | 1043215817 |
|---|---|
| Provider Name | Dr. Laurence W Spivack |
| First Address | Mentor, OH 44060-7362 |
| Second Address | Mentor, OH 44060 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 19/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000242733 | ANTHEM (01) | OH |
| 0161999 | (05) | OH |
| 016307 | UNITED HEALTHCARE (01) | OH |
| T80362 | (02) | OH |
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.