Sprague, David Wayne
Sprague, David Wayne is an sole proprietor health care provider with primary practice located at 12 Adams St , Batavia NY 14020-2902. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Sprague, David Wayne can be contacted via phone (585) 356-1323.Contact Information
Primary practice address
12 Adams St
Batavia NY 14020-2902
Phone: (585) 356-1323
Fax: (585) 344-8649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 010122-2 | New York |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 010122-1 | New York |
Profile Details
| NPI number | 1811984107 |
|---|---|
| LBN Legal business name | Sprague, David Wayne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2005 |
| Last updated | Dec 5th, 2016 - about 9 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 | 1811984107 | NPPES |
| New York | MEDICAID | 01-213-730 |
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