Spencer, Jodie L.
Spencer, Jodie L. is an sole proprietor health care provider with primary practice located at 90 E Calle Del Rondador , Sahuarita AZ 85629-8506. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Spencer, Jodie L. can be contacted via phone (520) 777-3445.Contact Information
Primary practice address
90 E Calle Del Rondador
Sahuarita AZ 85629-8506
Phone: (520) 777-3445
Fax: (520) 750-9667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 12075 | Arizona |
Profile Details
| NPI number | 1922147172 |
|---|---|
| LBN Legal business name | Spencer, Jodie L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 9th, 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 | 1922147172 | NPPES |
| Arizona | MEDICAID | 175641 |
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