Spragg, Thomas R
Spragg, Thomas R is an individual health care provider with primary practice located at 1717 W Ridgeway Ave , Waterloo IA 50701-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spragg, Thomas R can be contacted via phone (319) 833-5700.Contact Information
Primary practice address
1717 W Ridgeway Ave
Waterloo IA 50701-4543
Phone: (319) 833-5700
Fax: (319) 833-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16702 | Iowa |
Profile Details
| NPI number | 1093793580 |
|---|---|
| LBN Legal business name | Spragg, Thomas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Oct 22nd, 2007 - about 17 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 | 1093793580 | NPPES |
| Iowa | MEDICAID | 2005181 | |
| Iowa | MEDICAID | 1005181 |
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