Porter, Spencer

Porter, Spencer is an sole proprietor health care provider with primary practice located at 6935 Laurel Ave Suite 208, Takoma Park MD 20912-4413. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Acupuncturist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Porter, Spencer can be contacted via phone (301) 891-2737.

Contact Information

Primary practice address
6935 Laurel Ave Suite 208 Takoma Park MD 20912-4413
Phone: (301) 891-2737
Fax: (301) 891-2132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 05172 Maryland
Other Service Providers / Acupuncturist 171100000X U272 Maryland

Profile Details

NPI number 1477675908
LBN Legal business name Porter, Spencer
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Mar 6th, 2008 - about 16 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 1477675908 NPPES
Maryland Other 217863 KAISER
Maryland Other B8810001 KAISER
Maryland Other PVPB126765 KAISER
Maryland Other 312046 KAISER
Maryland Other 5606101 KAISER
Maryland Other QS28 KAISER
Maryland MEDICAID PO654173 KAISER

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