Spencer, Cory Doran

Spencer, Cory Doran is an individual health care provider with primary practice located at 2280 Harrison Ave Suite B, Eureka CA 95501-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Spencer, Cory Doran can be contacted via phone (707) 443-9371.

Contact Information

Primary practice address
2280 Harrison Ave Suite B Eureka CA 95501-3200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G71456 California

Profile Details

NPI number 1578669149
LBN Legal business name Spencer, Cory Doran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 22nd, 2010 - about 14 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 1578669149 NPPES
California MEDICAID 00G714560

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