Spencer, Mark A
Spencer, Mark A is an sole proprietor health care provider with primary practice located at 15850 New Ave , Lemont IL 60439-3680. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Spencer, Mark A can be contacted via phone (815) 302-2784.Contact Information
Primary practice address
15850 New Ave
Lemont IL 60439-3680
Phone: (815) 302-2784
Fax: (630) 243-8807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | Illinois |
Profile Details
| NPI number | 1134285539 |
|---|---|
| LBN Legal business name | Spencer, Mark A |
| Credentials | Doctor of Nursing (DN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1134285539 | NPPES |
| Illinois | Other | 02232712 | BLUE CROSS BLUE SHIELD IL |
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