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NPI Code Detail

MEDICARE: DR. NATHAN SPENCER D.C.

MEDICARE: DR. NATHAN SPENCER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2716MA

General Provider Information

NPI Number : 1861562589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN SPENCER D.C.
Provider Business Mailing Address
First Line : 11 RAINBOW LN
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-1661
Country : US
Telephone Number : 978-282-0192
Fax Number :
Provider Business Practice Location Address
First Line : 321 WASHINGTON ST
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-4837
Country : US
Telephone Number : 978-281-1411
Fax Number : 978-281-2727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 08/07/2017

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Directions to “ DR. NATHAN SPENCER D.C.” Practice Location

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