Spencer, Madeline Rose
Spencer, Madeline Rose is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Spencer, Madeline Rose can be contacted via phone (314) 454-2076.Contact Information
Primary practice address
1 Childrens Pl Div Ped Hospitalist Med
Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 2022042478 | Missouri |
Profile Details
| NPI number | 1013586114 |
|---|---|
| LBN Legal business name | Spencer, Madeline Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jul 2nd, 2024 - about last year |
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 | 1013586114 | NPPES |
| Missouri | MEDICAID | 200097441 |
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