Spencer, Mark
Spencer, Mark is an individual health care provider with primary practice located at 1608 Road 44 , Pasco WA 99301-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spencer, Mark can be contacted via phone (509) 543-9820.Contact Information
Primary practice address
1608 Road 44
Pasco WA 99301-2667
Phone: (509) 543-9820
Fax: (509) 545-6275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD164782 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00022856 | Washington |
Profile Details
| NPI number | 1366407181 |
|---|---|
| LBN Legal business name | Spencer, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 24th, 2021 - about 4 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 | 1366407181 | NPPES |
| Washington | MEDICAID | 1366407181 | |
| Washington | Other | 263783 | |
| Washington | Other | R07056 |
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