Sprague, Robert S

Sprague, Robert S is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sprague, Robert S can be contacted via phone (857) 203-6011.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 58455 Massachusetts

Profile Details

NPI number 1558305342
LBN Legal business name Sprague, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558305342 NPPES
New Hampshire MEDICAID 30006726
New Hampshire Other 2323
New Hampshire MEDICAID 3115933
New Hampshire Other J30159
New Hampshire Other 0484640
New Hampshire Other 168260
New Hampshire Other 29753
New Hampshire Other 058455
New Hampshire Other 986224
New Hampshire Other 23898

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