Spencer, Ross A
Spencer, Ross A is an individual health care provider with primary practice located at 3130 Memorial Hwy Ste 100 , Dallas PA 18612-9228. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Spencer, Ross A can be contacted via phone (570) 675-3833.Contact Information
Primary practice address
3130 Memorial Hwy Ste 100
Dallas PA 18612-9228
Phone: (570) 675-3833
Fax: (570) 675-3225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC004878L | Pennsylvania |
Profile Details
| NPI number | 1447374996 |
|---|---|
| LBN Legal business name | Spencer, Ross A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Oct 5th, 2011 - about 13 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 | 1447374996 | NPPES |
| Pennsylvania | Other | 807312 | BLUE SHIELD |
| Pennsylvania | MEDICAID | 0012766860001 | BLUE SHIELD |
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