Spencer, Dale A
Spencer, Dale A is an individual health care provider with primary practice located at 9480 Briar Village Pt Ste 200 , Colorado Springs CO 80920-7923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spencer, Dale A can be contacted via phone (719) 278-3627.Contact Information
Primary practice address
9480 Briar Village Pt Ste 200
Colorado Springs CO 80920-7923
Phone: (719) 278-3627
Fax: (719) 623-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0043582 | Colorado |
Profile Details
| NPI number | 1558334011 |
|---|---|
| LBN Legal business name | Spencer, Dale A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 24th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558334011 | NPPES |
| Colorado | MEDICAID | 9000170910 |
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