Spencer, David A

Spencer, David A is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Spencer, David A can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 298-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M2959 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00012565 Washington

Profile Details

NPI number 1992888705
LBN Legal business name Spencer, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 13th, 2008 - about 16 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 1992888705 NPPES
Idaho Other 000010006002 REGENCE BLUESHIELD
Idaho MEDICAID 1578509 REGENCE BLUESHIELD
Idaho Other DF516 REGENCE BLUESHIELD
Idaho MEDICAID 002385800 REGENCE BLUESHIELD
Idaho Other 002385800 REGENCE BLUESHIELD
Idaho Other 31261 REGENCE BLUESHIELD

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