Mellum, Spencer T
Mellum, Spencer T is an individual health care provider with primary practice located at 1600 Medical Pkwy , Carson City NV 89703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mellum, Spencer T can be contacted via phone (702) 878-0070.Contact Information
Primary practice address
1600 Medical Pkwy
Carson City NV 89703
Phone: (702) 878-0070
Fax: (702) 209-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 1232 | Nevada |
Profile Details
| NPI number | 1811002793 |
|---|---|
| LBN Legal business name | Mellum, Spencer T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 14th, 2018 - about 6 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 | 1811002793 | NPPES |
| Nevada | MEDICAID | 1811002793 |
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