Spencer, Jack W
Spencer, Jack W is an individual health care provider with primary practice located at 1025 Memorial Dr , Oakland MD 21550-4343. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Spencer, Jack W can be contacted via phone (301) 334-7670.Contact Information
Primary practice address
1025 Memorial Dr
Oakland MD 21550-4343
Phone: (301) 334-7670
Fax: (301) 334-7671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AC0803 | Maryland |
Profile Details
| NPI number | 1912384983 |
|---|---|
| LBN Legal business name | Spencer, Jack W |
| Credentials | MS, CAC, AD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Apr 29th, 2015 - about 9 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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