Witcher, Spencer Broady

Witcher, Spencer Broady is an individual health care provider with primary practice located at 108 Bravo Blvd , Glasgow KY 42141-3478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Witcher, Spencer Broady can be contacted via phone (270) 651-2181.

Contact Information

Primary practice address
108 Bravo Blvd Glasgow KY 42141-3478
Fax: (270) 651-2183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36426 Kentucky

Profile Details

NPI number 1700876455
LBN Legal business name Witcher, Spencer Broady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 12th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700876455 NPPES
Kentucky MEDICAID 64033046

Popular Providers