Spencer, Stephen E
Spencer, Stephen E is an individual health care provider with primary practice located at 6565 W Emerald St , Boise ID 83704-8737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spencer, Stephen E can be contacted via phone (208) 377-5055.Contact Information
Primary practice address
6565 W Emerald St
Boise ID 83704-8737
Phone: (208) 377-5055
Fax: (208) 377-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3666 | Idaho |
Profile Details
| NPI number | 1376548230 |
|---|---|
| LBN Legal business name | Spencer, Stephen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376548230 | NPPES |
| Idaho | MEDICAID | 002762400 |
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