Haller, Spencer Lee

Haller, Spencer Lee is an individual health care provider with primary practice located at 70 Post Office Park , Wilbraham MA 01095-1290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Haller, Spencer Lee can be contacted via phone (413) 598-7770.

Contact Information

Primary practice address
70 Post Office Park Wilbraham MA 01095-1290
Fax: (413) 599-1399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 222039 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 222039 Massachusetts

Profile Details

NPI number 1679787535
LBN Legal business name Haller, Spencer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Mar 17th, 2011 - about 14 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 1679787535 NPPES
Massachusetts MEDICAID 110079183A

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