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
Phone: (413) 598-7770
Fax: (413) 599-1399
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679787535 | NPPES |
Massachusetts | MEDICAID | 110079183A |
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