Spradlin, Scott Edward
Spradlin, Scott Edward is an sole proprietor health care provider with primary practice located at 560 S Oliver St , Wichita KS 67218-2351. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Spradlin, Scott Edward can be contacted via phone (316) 260-1127.Contact Information
Primary practice address
560 S Oliver St
Wichita KS 67218-2351
Phone: (316) 260-1127
Fax: (316) 260-1137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 813 | Kansas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 813 | Kansas |
Profile Details
| NPI number | 1962692558 |
|---|---|
| LBN Legal business name | Spradlin, Scott Edward |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Dec 19th, 2019 - about 7 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 | 1962692558 | NPPES |
| Kansas | Other | 12206146 | CAQH |
| Kansas | Other | 200438340B | CAQH |
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