Sprague, David Samuel

Sprague, David Samuel is an individual health care provider with primary practice located at 12265 James St , Holland MI 49424-8613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sprague, David Samuel can be contacted via phone (517) 628-2737.

Contact Information

Primary practice address
12265 James St Holland MI 49424-8613
Phone: (517) 628-2737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301040363 Michigan

Profile Details

NPI number 1811042823
LBN Legal business name Sprague, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 15th, 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 1811042823 NPPES
Michigan MEDICAID 13347212

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