Jenrette, Marilyn Spragg
Jenrette, Marilyn Spragg is an sole proprietor health care provider with primary practice located at 133 Wilbur Dr Ne , North Canton OH 44720-1641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jenrette, Marilyn Spragg can be contacted via phone (330) 494-6012.Contact Information
Primary practice address
133 Wilbur Dr Ne
North Canton OH 44720-1641
Phone: (330) 494-6012
Fax: (330) 494-3880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35048766 | Ohio |
Profile Details
| NPI number | 1659365252 |
|---|---|
| LBN Legal business name | Jenrette, Marilyn Spragg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jun 23rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659365252 | NPPES |
| Ohio | MEDICAID | 0513680 |
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