Spragg, Matthew T

Spragg, Matthew T is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spragg, Matthew T can be contacted via phone (319) 384-6562.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Fax: (319) 353-7006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004-01333 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4155 Iowa

Profile Details

NPI number 1164425963
LBN Legal business name Spragg, Matthew T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164425963 NPPES
North Carolina Other 1378A MATTHEW SPRAGG'S BCBS #
North Carolina MEDICAID 891378A MATTHEW SPRAGG'S BCBS #
North Carolina Other P00184254 MATTHEW SPRAGG'S BCBS #

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