Spencer, Loretta B

Spencer, Loretta B is an sole proprietor health care provider with primary practice located at 3937 Sunset Blvd Ste B , West Columbia SC 29169-2423. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Spencer, Loretta B can be contacted via phone (803) 900-4890.

Contact Information

Primary practice address
3937 Sunset Blvd Ste B West Columbia SC 29169-2423
Phone: (803) 900-4890
Fax: (803) 931-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 288562 South Carolina

Profile Details

NPI number 1124503925
LBN Legal business name Spencer, Loretta B
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 7 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 1124503925 NPPES
South Carolina MEDICAID GP8131

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