Eagan, Spencer L
Eagan, Spencer L is an individual health care provider with primary practice located at 14340 Metcalf Ave , Overland Park KS 66223-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Eagan, Spencer L can be contacted via phone (913) 914-5975.Contact Information
Primary practice address
14340 Metcalf Ave
Overland Park KS 66223-2987
Phone: (913) 914-5975
Fax: (816) 875-2598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 2012005895 | Missouri |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0435520 | Kansas |
Profile Details
NPI number | 1881785772 |
---|---|
LBN Legal business name | Eagan, Spencer L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Jul 19th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881785772 | NPPES |
Missouri | MEDICAID | 1881785772 |
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