Sprague, Suzanne W.
Sprague, Suzanne W. is an individual health care provider with primary practice located at 1200 S Elmira Ave , Russellville AR 72802-9646. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sprague, Suzanne W. can be contacted via phone (479) 968-7118.Contact Information
Primary practice address
1200 S Elmira Ave
Russellville AR 72802-9646
Phone: (479) 968-7118
Fax: (479) 968-8628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#P8199 | Arkansas |
Profile Details
| NPI number | 1396987640 |
|---|---|
| LBN Legal business name | Sprague, Suzanne W. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Jan 10th, 2023 - about 2 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 | 1396987640 | NPPES |
| Arkansas | MEDICAID | 176388721 |
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