Spencer, Patrick L

Spencer, Patrick L is an sole proprietor health care provider with primary practice located at 425 W Grand Ave Ste 1002, Dayton OH 45405-4775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Spencer, Patrick L can be contacted via phone (937) 298-5536.

Contact Information

Primary practice address
425 W Grand Ave Ste 1002 Dayton OH 45405-4775
Fax: (937) 298-5596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34-00-6232-S Ohio

Profile Details

NPI number 1861494304
LBN Legal business name Spencer, Patrick L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Apr 12th, 2022 - about 3 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 1861494304 NPPES
Ohio MEDICAID 2050739

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