Spencer, Jordan Dane

Spencer, Jordan Dane is an individual health care provider with primary practice located at 599 Tomales Rd Hs 'A' School, Petaluma CA 94952-5002. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Spencer, Jordan Dane can be contacted via phone (707) 765-7488.

Contact Information

Primary practice address
599 Tomales Rd Hs 'A' School Petaluma CA 94952-5002
Phone: (707) 765-7488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1598945677
LBN Legal business name Spencer, Jordan Dane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 2007 - 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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