Harrison, Spencer

Harrison, Spencer is an individual health care provider with primary practice located at 4601 Corbett Dr , Fort Collins CO 80528-9579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Harrison, Spencer can be contacted via phone (970) 207-4857.

Contact Information

Primary practice address
4601 Corbett Dr Fort Collins CO 80528-9579
Phone: (970) 207-4857
Fax: (970) 207-4885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04-40934 Kansas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DR.0069399 Colorado

Profile Details

NPI number 1669886008
LBN Legal business name Harrison, Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Nov 7th, 2022 - about 4 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 1669886008 NPPES
Colorado MEDICAID 9000209307

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