Spencer, David Lamar

Spencer, David Lamar is an individual health care provider with primary practice located at 2525 Telephone Rd , Pascagoula MS 39567-3202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Spencer, David Lamar can be contacted via phone (228) 762-4483.

Contact Information

Primary practice address
2525 Telephone Rd Pascagoula MS 39567-3202
Fax: (228) 769-0406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 09344 Mississippi

Profile Details

NPI number 1053326348
LBN Legal business name Spencer, David Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Mar 17th, 2015 - about 10 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 1053326348 NPPES
Mississippi MEDICAID 00115807
Mississippi Other 020041899

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