Sprake, William G
Sprake, William G is an sole proprietor health care provider with primary practice located at 404 C Black Hills Lane Sw , Olympia WA 98502-8667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Sprake, William G can be contacted via phone (360) 754-0660.Contact Information
Primary practice address
404 C Black Hills Lane Sw
Olympia WA 98502-8667
Phone: (360) 754-0660
Fax: (360) 754-0137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD00023744 | Washington |
Profile Details
| NPI number | 1215946231 |
|---|---|
| LBN Legal business name | Sprake, William G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Mar 19th, 2015 - about 11 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 | 1215946231 | NPPES |
| Washington | MEDICAID | 8273856 | |
| Washington | MEDICAID | A08679 |
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