Spencer, Scott Alan
Spencer, Scott Alan is an individual health care provider with primary practice located at 7000 Euclid Ave Suite 101, Cleveland OH 44103-4014. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spencer, Scott Alan can be contacted via phone (216) 231-5612.Contact Information
Primary practice address
7000 Euclid Ave Suite 101
Cleveland OH 44103-4014
Phone: (216) 231-5612
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36-00-2444-S | Ohio |
Profile Details
NPI number | 1770589004 |
---|---|
LBN Legal business name | Spencer, Scott Alan |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Feb 28th, 2013 - about 11 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 | 1770589004 | NPPES |
Ohio | Other | CI 5538 | RR MEDICARE GROUP BFAC |
Ohio | MEDICAID | 0935322 | RR MEDICARE GROUP BFAC |
Ohio | Other | 480017770 | RR MEDICARE GROUP BFAC |
Ohio | Other | CH 5179 | RR MEDICARE GROUP BFAC |
Ohio | Other | 480031326 | RR MEDICARE GROUP BFAC |
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