Peter Benjamin Spencer in Saint Joseph - Neurology
Peter Benjamin Spencer - NPI 1669479432
Peter Benjamin Spencer is a Neurology in Saint Joseph, Michigan. Peter Benjamin Spencer practices all healthcare services and medical treatments related to Neurology. The NPI Number for Peter Benjamin Spencer is 1669479432. The last update date is 2014-08-20.
Peter Benjamin Spencer's current location address is 3950 Hollywood Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2699850000 and fax number 2699850360. The mailing address for Peter Benjamin Spencer is 3950 Hollywood Rd, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Benjamin Spencer |
|---|---|
| Address | 3950 Hollywood Rd, Saint Joseph, Michigan |
| Phone Number | 2699850000 |
| Fax Number | 2699850360 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1669479432 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
| Address | 3950 Hollywood Rd |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490859159 |
| Phone Number | 2699850000 |
| Fax Number | 2699850360 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 5101010692 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4170564 | MI | -- |
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What is the unique 10-digit identifier code issued to Peter Benjamin Spencer by the Centers for Medicare & Medicaid Services?
The Peter Benjamin Spencer has been assigned the NPI (National Provider Identifier) 1669479432 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Peter Benjamin Spencer's physical address?
The Peter Benjamin Spencer is physically located at 3950 Hollywood Rd, in the city of Saint Joseph, MI, with the postal code 490859159.
What is Peter Benjamin Spencer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter Benjamin Spencer's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
On what date did the Peter Benjamin Spencer receive its 1669479432 assignment from the Centers for Medicare & Medicaid Services?
The Peter Benjamin Spencer was assigned its 1669479432 by the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date were the Peter Benjamin Spencer's details last updated?
The information pertaining to the Peter Benjamin Spencer, including its address, specialty, and other details, was most recently updated on 2014-08-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY