Spencer, Alex Michael

Spencer, Alex Michael is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420-2195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Spencer, Alex Michael can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
1750 Thompson Rd Coos Bay OR 97420-2195
Phone: (541) 269-0333
Fax: (541) 269-7389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD197705 Oregon

Profile Details

NPI number 1982088464
LBN Legal business name Spencer, Alex Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Jul 29th, 2020 - about 4 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 1982088464 NPPES
Oregon MEDICAID 500780317

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