Provider Demographics
NPI:1932548401
Name:SPEARS, ERIK (LICAC)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4410
Mailing Address - Country:US
Mailing Address - Phone:617-372-4622
Mailing Address - Fax:
Practice Address - Street 1:171 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2702
Practice Address - Country:US
Practice Address - Phone:617-372-4622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist