Spencer, John Dewane

Spencer, John Dewane is an sole proprietor health care provider with primary practice located at 4069 W Linwood St , Springfield MO 65807-1035. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Spencer, John Dewane can be contacted via phone (417) 761-1532.

Contact Information

Primary practice address
4069 W Linwood St Springfield MO 65807-1035
Phone: (417) 761-1532
Fax: (417) 315-8500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2010034268 Missouri

Profile Details

NPI number 1306108857
LBN Legal business name Spencer, John Dewane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 14 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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