Provider Demographics
NPI:1346264736
Name:SPEAR, PAUL F (RN,ATC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:SPEAR
Suffix:
Gender:M
Credentials:RN,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 GROSS ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2031
Mailing Address - Country:US
Mailing Address - Phone:740-374-3200
Mailing Address - Fax:740-374-9560
Practice Address - Street 1:160 GROSS ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2031
Practice Address - Country:US
Practice Address - Phone:740-374-3200
Practice Address - Fax:740-374-9560
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH076592163WX0800X
OH0001522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH076592OtherRN