Spencer, Selden Edmund

Spencer, Selden Edmund is an individual health care provider with primary practice located at 1015 Duff Ave , Ames IA 50010-3014. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Spencer, Selden Edmund can be contacted via phone (515) 239-4435.

Contact Information

Primary practice address
1015 Duff Ave Ames IA 50010-3014
Phone: (515) 239-4435
Fax: (515) 239-4758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD-23942 Iowa
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 23942 Iowa
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X MD-23942 Iowa

Profile Details

NPI number 1275514606
LBN Legal business name Spencer, Selden Edmund
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jan 11th, 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 1275514606 NPPES
Iowa MEDICAID 0218370

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