Spencer, Katherine L
Spencer, Katherine L is an individual health care provider with primary practice located at 8325 Seasons Pkwy , Woodbury MN 55125-3477. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Spencer, Katherine L can be contacted via phone (651) 702-5300.Contact Information
Primary practice address
8325 Seasons Pkwy
Woodbury MN 55125-3477
Phone: (651) 702-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2422 | Minnesota |
Profile Details
| NPI number | 1649242066 |
|---|---|
| LBN Legal business name | Spencer, Katherine L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Apr 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649242066 | NPPES |
| Minnesota | MEDICAID | 082225600 |
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