Sprague, Jennifer Teresa

Sprague, Jennifer Teresa is an individual health care provider with primary practice located at 10506 Montgomery Rd Ste 200A , Montgomery OH 45242-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sprague, Jennifer Teresa can be contacted via phone (513) 865-2227.

Contact Information

Primary practice address
10506 Montgomery Rd Ste 200A Montgomery OH 45242-4400
Phone: (513) 865-2227
Fax: (513) 865-5552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC639 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.005482RX Ohio

Profile Details

NPI number 1033628268
LBN Legal business name Sprague, Jennifer Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 16th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033628268 NPPES
Ohio MEDICAID 2565399

Popular Providers