Southerland, Spencer Corey

Southerland, Spencer Corey is an individual health care provider with primary practice located at Seal Team 2 Unit 60003, Fpo AE 09501-4633. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Southerland, Spencer Corey can be contacted via phone (360) 286-0972.

Contact Information

Primary practice address
Seal Team 2 Unit 60003 Fpo AE 09501-4633
Phone: (360) 286-0972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1922359702
LBN Legal business name Southerland, Spencer Corey
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - 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.

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