Sprague, Jill Janay
Sprague, Jill Janay is an sole proprietor health care provider with primary practice located at 829B S Washington Ave , Emmett ID 83617-3528. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sprague, Jill Janay can be contacted via phone (208) 365-3141.Contact Information
Primary practice address
829B S Washington Ave
Emmett ID 83617-3528
Phone: (208) 365-3141
Fax: (208) 398-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3234 | Idaho |
Profile Details
| NPI number | 1407984966 |
|---|---|
| LBN Legal business name | Sprague, Jill Janay |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jun 14th, 2023 - about 3 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 | 1407984966 | NPPES |
| Idaho | Other | 000010035506 | BLUE SHIELD OF IDAHO |
| Idaho | Other | Q5886 | BLUE SHIELD OF IDAHO |
| Idaho | MEDICAID | 807062700 | BLUE SHIELD OF IDAHO |
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