Spencer, Sara Michelle

Spencer, Sara Michelle is an sole proprietor health care provider with primary practice located at 904 E. Mlk Dr. , Centralia IL 62801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spencer, Sara Michelle can be contacted via phone (618) 533-1391.

Contact Information

Primary practice address
904 E. Mlk Dr. Centralia IL 62801
Phone: (618) 533-1391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S15279381673 Illinois

Profile Details

NPI number 1720335722
LBN Legal business name Spencer, Sara Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 12 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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