Spencer, Jack Christopher

Spencer, Jack Christopher is an individual health care provider with primary practice located at 181 Calhoun St , Charleston SC 29424. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Spencer, Jack Christopher can be contacted via phone (843) 953-5520.

Contact Information

Primary practice address
181 Calhoun St Charleston SC 29424
Phone: (843) 953-5520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD22163 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22163 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22163 South Carolina

Profile Details

NPI number 1255398350
LBN Legal business name Spencer, Jack Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 2nd, 2018 - about 8 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 1255398350 NPPES
South Carolina MEDICAID 221637

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