Augustin, Spencer Richard

Augustin, Spencer Richard is an individual health care provider with primary practice located at 2530 Debarr Rd , Anchorage AK 99508-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Augustin, Spencer Richard can be contacted via phone (907) 258-7575.

Contact Information

Primary practice address
2530 Debarr Rd Anchorage AK 99508-2948
Phone: (907) 258-7575
Fax: (907) 561-7464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X OT017539 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 11709387-1204 Utah
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 185478 Alaska

Profile Details

NPI number 1366963381
LBN Legal business name Augustin, Spencer Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Aug 23rd, 2022 - about 3 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 1366963381 NPPES
Alaska MEDICAID 1730692

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