Spencer-Manzon, Michele
Spencer-Manzon, Michele is an sole proprietor health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is her primary health care specialty. Spencer-Manzon, Michele can be contacted via phone (203) 785-2660.Contact Information
Primary practice address
20 York St
New Haven CT 06510-3220
Phone: (203) 785-2660
Fax: (203) 785-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 122192 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 122192 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | 2008-01116 | North Carolina |
Profile Details
| NPI number | 1861667065 |
|---|---|
| LBN Legal business name | Spencer-Manzon, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Jan 17th, 2023 - about 2 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 | 1861667065 | NPPES |
| North Carolina | MEDICAID | 5909828 |
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