Provider Demographics
NPI:1417638016
Name:SPIKER, SYDNEY BELLE
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:BELLE
Last Name:SPIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CRESCENT HEIGHTS TRAILER CT
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3484
Mailing Address - Country:US
Mailing Address - Phone:304-698-4874
Mailing Address - Fax:
Practice Address - Street 1:40 CRESCENT HEIGHTS TRAILER CT
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3484
Practice Address - Country:US
Practice Address - Phone:304-698-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program