Individual
DR. MARK A SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1335 US HIGHWAY 68, MAYSVILLE, KY 41056-9132
(606) 564-4213
(606) 564-4406
Mailing address
103 DUNN CIR, GEORGETOWN, KY 40324-8796
(727) 644-4064
(502) 212-4334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
250032
KY
111N00000X
Chiropractor
2916
OH
111N00000X
Chiropractor
9819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360683
ANTHEM PIN
KY
01
—
1179081
CHA PIN
KY
01
—
6079912
MEDICARE ID-TYPE UNSPECIFIED
KY
05
—
7100098410
—
KY
Enumeration date
08/30/2005
Last updated
07/19/2020
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