Spence, Shanna Leigh

Spence, Shanna Leigh is an individual health care provider with primary practice located at 300 E 6Th St , Texarkana AR 71854-5207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spence, Shanna Leigh can be contacted via phone (870) 779-6004.

Contact Information

Primary practice address
300 E 6Th St Texarkana AR 71854-5207
Phone: (870) 779-6004
Fax: (870) 779-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C8442 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K1075 Texas

Profile Details

NPI number 1255338943
LBN Legal business name Spence, Shanna Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2007 - about 17 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 1255338943 NPPES
Other 8B4912 TRALBLAZERS

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