Carlstone, Spencer L

Carlstone, Spencer L is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carlstone, Spencer L can be contacted via phone (641) 621-2200.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Phone: (641) 621-2200
Fax: (641) 621-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0031 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4698 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36471 Iowa

Profile Details

NPI number 1629055678
LBN Legal business name Carlstone, Spencer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Aug 30th, 2022 - about 2 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 1629055678 NPPES
Iowa MEDICAID 0490896
Iowa MEDICAID 1490896
Iowa MEDICAID 171434701
Iowa MEDICAID 4490896
Iowa MEDICAID 2490896
Iowa MEDICAID 3490896

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