Healthcare Provider Details

I. General information

NPI: 1003083916
Provider Name (Legal Business Name): ARTHUR WALTER SPERLING EMT,ASPT,PHARM TECH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 11/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 JAKE ALEXANDER BLVD W STE 102
SALISBURY NC
28147-1421
US

IV. Provider business mailing address

475 JAKE ALEXANDER BLVD W SUITE 102 BOX 206
SALISBURY NC
28147
US

V. Phone/Fax

Practice location:
  • Phone: 941-941-2207
  • Fax:
Mailing address:
  • Phone: 941-544-2207
  • Fax: 605-593-0141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number134820
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberP068629
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number490603961045
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code1710I1003X
TaxonomyIndependent Duty Medical Technicians
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: