Spencer, Todd David

Spencer, Todd David is an individual health care provider with primary practice located at 1250 E Almond Ave , Madera CA 93637-5606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Spencer, Todd David can be contacted via phone (559) 675-9281.

Contact Information

Primary practice address
1250 E Almond Ave Madera CA 93637-5606
Phone: (559) 675-9281
Fax: (559) 675-9626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G702730 California

Profile Details

NPI number 1639102536
LBN Legal business name Spencer, Todd David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 22nd, 2016 - about 9 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 1639102536 NPPES
California MEDICAID 00G702730

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