Spence, John Edward
Spence, John Edward is an individual health care provider with primary practice located at 1001 Blythe Blvd. Medical Center Plaza, Suite 200, Charlotte NC 28203-5865. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Spence, John Edward can be contacted via phone (704) 381-8840.Contact Information
Primary practice address
1001 Blythe Blvd. Medical Center Plaza, Suite 200
Charlotte NC 28203-5865
Phone: (704) 381-8840
Fax: (704) 381-8848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cytogenetic | 207SC0300X | 40000 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 40000 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40000 | North Carolina |
Profile Details
| NPI number | 1366467649 |
|---|---|
| LBN Legal business name | Spence, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 1st, 2024 - about last year |
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 | 1366467649 | NPPES |
| North Carolina | MEDICAID | 1366467649 | |
| North Carolina | MEDICAID | N40000 | |
| North Carolina | MEDICAID | 8978721 | |
| North Carolina | Other | 78721 |
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