Spencer, Madeline Rose

Spencer, Madeline Rose is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Spencer, Madeline Rose can be contacted via phone (314) 454-2076.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Hospitalist Med Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 2022042478 Missouri

Profile Details

NPI number 1013586114
LBN Legal business name Spencer, Madeline Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2021
Last updated Jul 2nd, 2024 - about 2 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 1013586114 NPPES
Missouri MEDICAID 200097441

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