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Contact Information

NICOLEPATRICIA SPENCER
2441 21ST ST
FORT CAMPBELL, KY42223-5582
 Phone: 270-798-8751
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for NICOLEPATRICIA SPENCER · (Female)

NPI # 1053887240
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2018
Last updated 10/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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