Hansen, Spencer Kimball

Hansen, Spencer Kimball is an individual health care provider with primary practice located at 324 E 10Th Ave Ste 178 , Slc UT 84103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hansen, Spencer Kimball can be contacted via phone (801) 408-8500.

Contact Information

Primary practice address
324 E 10Th Ave Ste 178 Slc UT 84103
Phone: (801) 408-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10801683-1205 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1174898647
LBN Legal business name Hansen, Spencer Kimball
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2012
Last updated Aug 21st, 2018 - about 8 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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