Spencer, Scott Alan

Spencer, Scott Alan is an individual health care provider with primary practice located at 7000 Euclid Ave Suite 101, Cleveland OH 44103-4014. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spencer, Scott Alan can be contacted via phone (216) 231-5612.

Contact Information

Primary practice address
7000 Euclid Ave Suite 101 Cleveland OH 44103-4014
Phone: (216) 231-5612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2444-S Ohio

Profile Details

NPI number 1770589004
LBN Legal business name Spencer, Scott Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 28th, 2013 - about 13 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 1770589004 NPPES
Ohio Other CI 5538 RR MEDICARE GROUP BFAC
Ohio MEDICAID 0935322 RR MEDICARE GROUP BFAC
Ohio Other 480017770 RR MEDICARE GROUP BFAC
Ohio Other CH 5179 RR MEDICARE GROUP BFAC
Ohio Other 480031326 RR MEDICARE GROUP BFAC

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