Spencer, Mark A
Spencer, Mark A is an sole proprietor health care provider with primary practice located at 1335 Us Highway 68 , Maysville KY 41056-9132. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Spencer, Mark A can be contacted via phone (606) 564-4213.Contact Information
Primary practice address
1335 Us Highway 68
Maysville KY 41056-9132
Phone: (606) 564-4213
Fax: (606) 564-4406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9819 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | 2916 | Ohio |
| Chiropractic Providers / Chiropractor | 111N00000X | 250032 | Kentucky |
Profile Details
| NPI number | 1558354084 |
|---|---|
| LBN Legal business name | Spencer, Mark A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 19th, 2020 - about 6 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 | 1558354084 | NPPES |
| Kentucky | Other | 000000360683 | ANTHEM PIN |
| Kentucky | MEDICAID | 7100098410 | ANTHEM PIN |
| Kentucky | Other | 1179081 | ANTHEM PIN |
| Kentucky | Other | 6079912 | ANTHEM PIN |
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