Healthcare Provider Details

I. General information

NPI: 1124841176
Provider Name (Legal Business Name): SPEAR MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5139 WALNUT ST STE 1
PHILADELPHIA PA
19139-4130
US

IV. Provider business mailing address

1201 N MARKET ST STE 111
WILMINGTON DE
19801-1156
US

V. Phone/Fax

Practice location:
  • Phone: 302-515-2007
  • Fax:
Mailing address:
  • Phone: 302-515-2007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY NYCOLE STROUD
Title or Position: CEO
Credential:
Phone: 302-515-2007