Sprague, Rebecca

Sprague, Rebecca is an individual health care provider with primary practice located at 3835 J Street , Sacramento CA 95816-5520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Sprague, Rebecca can be contacted via phone (916) 456-0400.

Contact Information

Primary practice address
3835 J Street Sacramento CA 95816-5520
Phone: (916) 456-0400
Fax: (916) 340-0621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 11828 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X NP11828 California

Profile Details

NPI number 1306912464
LBN Legal business name Sprague, Rebecca
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 30th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306912464 NPPES
California MEDICAID GR0068235
California MEDICAID RN314798
California MEDICAID GR006823B
California MEDICAID GR0068230
California MEDICAID GR0068231
California MEDICAID GR0068232
California Other ZZZ47675Z
California Other ZZZ47676Z
California MEDICAID GR0068233
California Other ZZZ47673Z
California Other ZZZ62306Z

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