Liles, Joe Spencer

Liles, Joe Spencer is an individual health care provider with primary practice located at 1601 Center St Ste 2N, Mobile AL 36604-1512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Liles, Joe Spencer can be contacted via phone (251) 660-5763.

Contact Information

Primary practice address
1601 Center St Ste 2N Mobile AL 36604-1512
Phone: (251) 660-5763
Fax: (251) 660-5752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X P5836 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 27818 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1306050109
LBN Legal business name Liles, Joe Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Feb 17th, 2017 - about 8 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 1306050109 NPPES
Texas MEDICAID 322529401 (MDACC)

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