Spencer, Roger

Spencer, Roger is an sole proprietor health care provider with primary practice located at 233 W 14Th St , Panama City FL 32401-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Spencer, Roger can be contacted via phone (850) 215-7963.

Contact Information

Primary practice address
233 W 14Th St Panama City FL 32401-2205
Fax: (800) 260-2711
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME48318 Florida

Profile Details

NPI number 1578523759
LBN Legal business name Spencer, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated May 15th, 2023 - about 3 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 1578523759 NPPES
Florida MEDICAID 048878000
Florida Other 02293

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