Sprouse, Douglas Edward

Sprouse, Douglas Edward is an individual health care provider with primary practice located at 3805 Oakland Avenue Suite 102F, Saint Joseph MO 64506. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Sprouse, Douglas Edward can be contacted via phone (816) 671-9604.

Contact Information

Primary practice address
3805 Oakland Avenue Suite 102F Saint Joseph MO 64506
Phone: (816) 671-9604
Fax: (816) 364-2158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 365 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001033 Missouri

Profile Details

NPI number 1790837805
LBN Legal business name Sprouse, Douglas Edward
Credentials MASTERS IN SOCIAL WO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - 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 1790837805 NPPES
Other 19706028 BLUE CROSS BLUE SHIELD

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