Craven, Spencer John
Craven, Spencer John is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. 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 / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Craven, Spencer John can be contacted via phone (208) 302-4200.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 302-4200
Fax: (208) 302-4255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M-16665 | Idaho |
Profile Details
| NPI number | 1992169452 |
|---|---|
| LBN Legal business name | Craven, Spencer John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2016 |
| Last updated | Jul 12th, 2022 - about 3 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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