Spencer, Thomas S

Spencer, Thomas S is an individual health care provider with primary practice located at 104 E Culver Rd Suite 103, Knox IN 46534-2216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Spencer, Thomas S can be contacted via phone (574) 772-2114.

Contact Information

Primary practice address
104 E Culver Rd Suite 103 Knox IN 46534-2216
Phone: (574) 772-2114
Fax: (574) 772-2802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 22329 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01053871A Indiana

Profile Details

NPI number 1295796985
LBN Legal business name Spencer, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 7th, 2008 - about 18 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 1295796985 NPPES
Indiana Other 000000518052 ANTHEM BLUE CROSS
Indiana MEDICAID 200860120 ANTHEM BLUE CROSS

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