Mares, Spencer John

Mares, Spencer John is an individual health care provider with primary practice located at 100 Medical Plz , Lake Saint Louis MO 63367-1366. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Mares, Spencer John can be contacted via phone (636) 625-5200.

Contact Information

Primary practice address
100 Medical Plz Lake Saint Louis MO 63367-1366
Phone: (636) 625-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018001739 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.000663 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2023006109 Missouri

Profile Details

NPI number 1437667490
LBN Legal business name Mares, Spencer John
Credentials FNP-C, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Mar 10th, 2023 - about 2 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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