Spencer, Jeanne

Spencer, Jeanne is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spencer, Jeanne can be contacted via phone (814) 534-9106.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Phone: (814) 534-9106
Fax: (814) 534-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD047441L Pennsylvania

Profile Details

NPI number 1396739454
LBN Legal business name Spencer, Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 30th, 2013 - about 11 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 1396739454 NPPES
Pennsylvania MEDICAID 0013933970003

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