Witcher, Spencer Broady
Witcher, Spencer Broady is an individual health care provider with primary practice located at 108 Bravo Blvd , Glasgow KY 42141-3478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Witcher, Spencer Broady can be contacted via phone (270) 651-2181.Contact Information
Primary practice address
108 Bravo Blvd
Glasgow KY 42141-3478
Phone: (270) 651-2181
Fax: (270) 651-2183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36426 | Kentucky |
Profile Details
| NPI number | 1700876455 |
|---|---|
| LBN Legal business name | Witcher, Spencer Broady |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | May 12th, 2011 - about 14 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 | 1700876455 | NPPES |
| Kentucky | MEDICAID | 64033046 |
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