Spencer, Shannon Barbara

Spencer, Shannon Barbara is an individual health care provider with primary practice located at 6711 Towpath Rd Ste 175 , East Syracuse NY 13057-9212. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Spencer, Shannon Barbara can be contacted via phone (315) 671-8723.

Contact Information

Primary practice address
6711 Towpath Rd Ste 175 East Syracuse NY 13057-9212
Phone: (315) 671-8723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 275961 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 320656 New York

Profile Details

NPI number 1700371580
LBN Legal business name Spencer, Shannon Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Jul 10th, 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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