Spencer, Scott Jason

Spencer, Scott Jason is an individual health care provider with primary practice located at 205 W Randolph St 1205, Chicago IL 60606-1867. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Spencer, Scott Jason can be contacted via phone (312) 265-6908.

Contact Information

Primary practice address
205 W Randolph St 1205 Chicago IL 60606-1867
Phone: (312) 265-6908
Fax: (312) 264-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038009369 Illinois

Profile Details

NPI number 1679620306
LBN Legal business name Spencer, Scott Jason
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679620306 NPPES
Illinois Other 7626403 AETNA
Illinois Other 01629928 AETNA

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