Jeffrey Clark Spencer
Sports Medicine Doctor
14730 Fred Amity Rd
Fredericktown
, Ohio 43019-9776
Jeffrey Clark Spencer
Sports Medicine Doctor
14730 Fred Amity Rd
Fredericktown
, Ohio 43019-9776
(740) 397-7640
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Jeffrey Clark Spencer
- 809 Coshocton Ave Suite B
- Mount Vernon, OH
- Zip : 43050-1900
- Fax : (740) 397-7640
- Phone : (740) 397-7550
Second Address
- Jeffrey Clark Spencer
- 14730 Fred Amity Rd
- Fredericktown, OH
- Zip : 43019-9776
- Fax : (740) 694-1369
- Phone : (740) 694-1343
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 35040551 | OH |
National Provider Identifier
| NPI | 1659332542 |
|---|---|
| Provider Name | Jeffrey Clark Spencer |
| First Address | Mount Vernon, OH 43050-1900 |
| Second Address | Fredericktown, OH 43019-9776 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 19/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A76177 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.