Spencer, Vernelle Louise

Spencer, Vernelle Louise is an sole proprietor health care provider with primary practice located at 3111 E Broadway Ave , Bismarck ND 58501-5085. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Spencer, Vernelle Louise can be contacted via phone (701) 334-6242.

Contact Information

Primary practice address
3111 E Broadway Ave Bismarck ND 58501-5085
Phone: (701) 334-6242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1760141790
LBN Legal business name Spencer, Vernelle Louise
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2021
Last updated Dec 17th, 2021 - about 5 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 1760141790 NPPES
North Dakota MEDICAID 1472475

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