Blondeaux, Spencer

Blondeaux, Spencer is an individual health care provider with primary practice located at 12409 Saint Charles Rock Rd , Bridgeton MO 63044-2507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blondeaux, Spencer can be contacted via phone (636) 429-0999.

Contact Information

Primary practice address
12409 Saint Charles Rock Rd Bridgeton MO 63044-2507
Phone: (636) 429-0999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114645249
LBN Legal business name Blondeaux, Spencer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2022
Last updated Jun 19th, 2024 - about 2 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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