Spencer, Cheryl Lynn

Spencer, Cheryl Lynn is an sole proprietor health care provider with primary practice located at 4101 W Iles Ave , Springfield IL 62711-7051. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Spencer, Cheryl Lynn can be contacted via phone (217) 793-9429.

Contact Information

Primary practice address
4101 W Iles Ave Springfield IL 62711-7051
Fax: (217) 993-7090
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.061514 Illinois

Profile Details

NPI number 1205502945
LBN Legal business name Spencer, Cheryl Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2021
Last updated Aug 23rd, 2021 - about 3 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 1205502945 NPPES
Illinois Other 043.061514 043.061514

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