Spencer, John C

Spencer, John C is an individual health care provider with primary practice located at 150 Emerson Ave E , West St Paul MN 55118-2535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Spencer, John C can be contacted via phone (651) 241-1800.

Contact Information

Primary practice address
150 Emerson Ave E West St Paul MN 55118-2535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2274 Minnesota

Profile Details

NPI number 1992768725
LBN Legal business name Spencer, John C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 9th, 2020 - about 4 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 1992768725 NPPES
Minnesota MEDICAID 249823500

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