Spencer, Jesse Neil

Spencer, Jesse Neil is an individual health care provider with primary practice located at 460 N Main St , Richfield UT 84701-1836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spencer, Jesse Neil can be contacted via phone (495) 896-5496.

Contact Information

Primary practice address
460 N Main St Richfield UT 84701-1836
Phone: (495) 896-5496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4795700-1205 Utah

Profile Details

NPI number 1629206149
LBN Legal business name Spencer, Jesse Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Sep 18th, 2012 - about 14 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 1629206149 NPPES
Utah MEDICAID 1629206149

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