Sprouse, Gregory Lloyd

Sprouse, Gregory Lloyd is an individual health care provider with primary practice located at 16 Herbster St , Columbiana OH 44408-1145. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Sprouse, Gregory Lloyd can be contacted via phone (330) 482-0161.

Contact Information

Primary practice address
16 Herbster St Columbiana OH 44408-1145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN084417 Ohio

Profile Details

NPI number 1790865517
LBN Legal business name Sprouse, Gregory Lloyd
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 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 1790865517 NPPES
Ohio MEDICAID 2290435

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