Spencer, Joan M

Spencer, Joan M is an individual health care provider with primary practice located at 70 Kenyon Ave 326, Wakefield RI 02879-4239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Spencer, Joan M can be contacted via phone (401) 788-1277.

Contact Information

Primary practice address
70 Kenyon Ave 326 Wakefield RI 02879-4239
Phone: (401) 788-1277
Fax: (401) 788-1514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X PNS00027 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN00363 Rhode Island

Profile Details

NPI number 1760450753
LBN Legal business name Spencer, Joan M
Credentials PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760450753 NPPES
Rhode Island Other 30908-4 BLUE CROSS OF RI
Rhode Island Other 413047 BLUE CROSS OF RI

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