Provider Demographics
NPI:1376042887
Name:SPINNER, EARL MORRIS
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:MORRIS
Last Name:SPINNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 MIDVALE ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-1131
Mailing Address - Country:US
Mailing Address - Phone:434-661-7271
Mailing Address - Fax:434-661-7271
Practice Address - Street 1:625 MIDVALE ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-1131
Practice Address - Country:US
Practice Address - Phone:434-661-7271
Practice Address - Fax:434-661-7271
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-10
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA65883347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle