Spragg, Thomas R

Spragg, Thomas R is an individual health care provider with primary practice located at 1717 W Ridgeway Ave , Waterloo IA 50701-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spragg, Thomas R can be contacted via phone (319) 833-5700.

Contact Information

Primary practice address
1717 W Ridgeway Ave Waterloo IA 50701-4543
Phone: (319) 833-5700
Fax: (319) 833-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16702 Iowa

Profile Details

NPI number 1093793580
LBN Legal business name Spragg, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Oct 22nd, 2007 - about 18 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 1093793580 NPPES
Iowa MEDICAID 2005181
Iowa MEDICAID 1005181

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