Spence, Michael D.

Spence, Michael D. is an sole proprietor health care provider with primary practice located at 121 El Paso Rd , Ruidoso NM 88345-6033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spence, Michael D. can be contacted via phone (505) 257-4061.

Contact Information

Primary practice address
121 El Paso Rd Ruidoso NM 88345-6033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 88-74 New Mexico

Profile Details

NPI number 1992706352
LBN Legal business name Spence, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 14th, 2011 - about 13 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 1992706352 NPPES
New Mexico MEDICAID 3020

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