Sprowl, Matthew L

Sprowl, Matthew L is an individual health care provider with primary practice located at 1222 S Patterson Blvd Ste 300, Dayton OH 45402-2684. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sprowl, Matthew L can be contacted via phone (937) 224-0024.

Contact Information

Primary practice address
1222 S Patterson Blvd Ste 300 Dayton OH 45402-2684
Fax: (937) 224-5818
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35050758S Ohio

Profile Details

NPI number 1518941715
LBN Legal business name Sprowl, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
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 1518941715 NPPES
Ohio MEDICAID 0614151

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