Spencer, Mary L

Spencer, Mary L is an individual health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Spencer, Mary L can be contacted via phone (440) 816-6246.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (440) 816-6246
Fax: (440) 816-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67.000138 Ohio

Profile Details

NPI number 1346496148
LBN Legal business name Spencer, Mary L
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Aug 24th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346496148 NPPES
Ohio MEDICAID 2946370

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