Provider Demographics
NPI:1962616169
Name:SPENCER, BILL E JR (DC)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:E
Last Name:SPENCER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:729 SUNRISE AVE
Mailing Address - Street 2:STE 606
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:916-786-0111
Mailing Address - Fax:916-786-6410
Practice Address - Street 1:729 SUNRISE AVE
Practice Address - Street 2:STE 606
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-786-0111
Practice Address - Fax:916-786-6410
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC120680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor