Sprague, Michael S

Sprague, Michael S is an individual health care provider with primary practice located at 1080 Beecher Crossing North , Gahanna OH 43230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sprague, Michael S can be contacted via phone (614) 476-4101.

Contact Information

Primary practice address
1080 Beecher Crossing North Gahanna OH 43230
Phone: (614) 476-4101
Fax: (614) 476-5303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35044398 Ohio

Profile Details

NPI number 1154415768
LBN Legal business name Sprague, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 1st, 2011 - about 13 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 1154415768 NPPES
Ohio Other 0486035 MEDICARE PTAN
Ohio MEDICAID 0422902 MEDICARE PTAN

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