Spencer, Gary G
Spencer, Gary G is an individual health care provider with primary practice located at 1602B Canton St , Hopkinsville KY 42240-1924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spencer, Gary G can be contacted via phone (270) 885-0953.Contact Information
Primary practice address
1602B Canton St
Hopkinsville KY 42240-1924
Phone: (270) 885-0953
Fax: (270) 886-5072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20270 | Kentucky |
Profile Details
| NPI number | 1740282714 |
|---|---|
| LBN Legal business name | Spencer, Gary G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1740282714 | NPPES |
| Kentucky | Other | 000000175867 | ANTHEM |
| Kentucky | MEDICAID | 64202708 | ANTHEM |
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