Spencer, Jennie M

Spencer, Jennie M is an individual health care provider with primary practice located at 14519 Detroit Ave , Lakewood OH 44107-4316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Spencer, Jennie M can be contacted via phone (216) 521-4200.

Contact Information

Primary practice address
14519 Detroit Ave Lakewood OH 44107-4316
Phone: (216) 521-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-002722 Ohio

Profile Details

NPI number 1427215771
LBN Legal business name Spencer, Jennie M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 17 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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