Wells, John Spencer

Wells, John Spencer is an individual health care provider with primary practice located at 250 W 300 N , Roosevelt UT 84066-2336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wells, John Spencer can be contacted via phone (435) 722-4691.

Contact Information

Primary practice address
250 W 300 N Roosevelt UT 84066-2336
Fax: (435) 722-9291
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7906638-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11014440A Indiana

Profile Details

NPI number 1831359744
LBN Legal business name Wells, John Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 28th, 2017 - about 7 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 1831359744 NPPES
Indiana Other 11014440A RESIDENCY PERMIT #
Indiana Other 7906638-1205 RESIDENCY PERMIT #

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