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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881785772 NPPES
Missouri MEDICAID 1881785772

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