Spruill, Jessica
Spruill, Jessica is an sole proprietor health care provider with primary practice located at 610 Nash St Ne , Wilson NC 27893-3045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Spruill, Jessica can be contacted via phone (252) 293-0739.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9979 | North Carolina |
Profile Details
| NPI number | 1467679613 |
|---|---|
| LBN Legal business name | Spruill, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467679613 | NPPES |
| North Carolina | Other | 067YY | BCBS |
| North Carolina | MEDICAID | 7212078 | BCBS |
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