Spencer, Madyline

Spencer, Madyline is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Spencer, Madyline can be contacted via phone (801) 221-9930.

Contact Information

Primary practice address
475 W 260 N Orem UT 84057-1970
Phone: (801) 221-9930
Fax: (801) 221-0649
Website:
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Health care specialties

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

Profile Details

NPI number 1861840902
LBN Legal business name Spencer, Madyline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated May 31st, 2016 - about 9 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 1861840902 NPPES
Utah MEDICAID 1396085718

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