Townsend, Spencer Wade

Townsend, Spencer Wade is an individual health care provider with primary practice located at 1551 Bishop St Bldg B Ste 220 , San Luis Obispo CA 93401-4661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Townsend, Spencer Wade can be contacted via phone (805) 543-2744.

Contact Information

Primary practice address
1551 Bishop St Bldg B Ste 220 San Luis Obispo CA 93401-4661
Phone: (805) 543-2744
Fax: (805) 543-0539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19181 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19181 California

Profile Details

NPI number 1780889477
LBN Legal business name Townsend, Spencer Wade
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Oct 17th, 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 1780889477 NPPES
California MEDICAID 1780889477
California Other CB323925

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