Spencer, George

Spencer, George is an sole proprietor health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Spencer, George can be contacted via phone (502) 897-8281.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 897-8281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01052919A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49391 Kentucky

Profile Details

NPI number 1740254382
LBN Legal business name Spencer, George
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jul 13th, 2021 - about 5 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 1740254382 NPPES
Kentucky MEDICAID 7100410870

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