Spruill, Jason R

Spruill, Jason R is an individual health care provider with primary practice located at 101 Medical Drive , Elizabeth City NC 27909. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Spruill, Jason R can be contacted via phone (252) 338-2114.

Contact Information

Primary practice address
101 Medical Drive Elizabeth City NC 27909
Phone: (252) 338-2114
Fax: (252) 338-2115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4576 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 4576 North Carolina

Profile Details

NPI number 1205983384
LBN Legal business name Spruill, Jason R
Credentials OCCUPATIONAL THERAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 25th, 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 1205983384 NPPES
North Carolina MEDICAID 7301483
North Carolina Other 1417N

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