Spencer, Cory Doran
Spencer, Cory Doran is an individual health care provider with primary practice located at 2280 Harrison Ave Suite B, Eureka CA 95501-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Spencer, Cory Doran can be contacted via phone (707) 443-9371.Contact Information
Primary practice address
2280 Harrison Ave Suite B
Eureka CA 95501-3200
Phone: (707) 443-9371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G71456 | California |
Profile Details
| NPI number | 1578669149 |
|---|---|
| LBN Legal business name | Spencer, Cory Doran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jun 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578669149 | NPPES |
| California | MEDICAID | 00G714560 |
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