Andersen, Spencer

Andersen, Spencer is an individual health care provider with primary practice located at 501 N Navajo Dr , Page AZ 86040. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Andersen, Spencer can be contacted via phone (801) 885-2489.

Contact Information

Primary practice address
501 N Navajo Dr Page AZ 86040
Phone: (801) 885-2489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 286582 New York

Profile Details

NPI number 1295130961
LBN Legal business name Andersen, Spencer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Sep 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295130961 NPPES
New York Other 286582 STATE LICENCE

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