Spencer, Justin R

Spencer, Justin R is an individual health care provider with primary practice located at 6030 S Mason Montgomery Rd , Mason OH 45040-3706. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Spencer, Justin R can be contacted via phone (513) 246-7000.

Contact Information

Primary practice address
6030 S Mason Montgomery Rd Mason OH 45040-3706
Phone: (513) 246-7000
Fax: (513) 204-6352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35133063 Ohio

Profile Details

NPI number 1164897062
LBN Legal business name Spencer, Justin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2015
Last updated Dec 15th, 2020 - 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 1164897062 NPPES
Ohio MEDICAID 2565399

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