Cole, Spencer Herbert

Cole, Spencer Herbert is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cole, Spencer Herbert can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax: (659) 301-0655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100752 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1705 Kentucky

Profile Details

NPI number 1023365715
LBN Legal business name Cole, Spencer Herbert
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated May 12th, 2015 - about 10 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 1023365715 NPPES
Kentucky MEDICAID 7100228080

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