Vandenburg, Spencer
Vandenburg, Spencer is an individual health care provider with primary practice located at 1460 Elk Creek Dr , Idaho Falls ID 83404-8237. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Vandenburg, Spencer can be contacted via phone (208) 535-1286.Contact Information
Primary practice address
1460 Elk Creek Dr
Idaho Falls ID 83404-8237
Phone: (208) 535-1286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1497365845 |
|---|---|
| LBN Legal business name | Vandenburg, Spencer |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2020 |
| Last updated | Jul 31st, 2020 - about 4 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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