Spence, Dale A
Spence, Dale A is an individual health care provider with primary practice located at Evans Army Comunity Hospital Premier Medical Home, Ft Carson CO 80913-4604. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Spence, Dale A can be contacted via phone (719) 524-7601.Contact Information
Primary practice address
Evans Army Comunity Hospital Premier Medical Home
Ft Carson CO 80913-4604
Phone: (719) 524-7601
Fax: (719) 524-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01722 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2430 | Colorado |
Profile Details
| NPI number | 1750441440 |
|---|---|
| LBN Legal business name | Spence, Dale A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jun 5th, 2015 - about 11 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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