Sprouls, Katie Sarah

Sprouls, Katie Sarah is an individual health care provider with primary practice located at 15034 N Parkview Pl , Surprise AZ 85379-6076. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Sprouls, Katie Sarah can be contacted via phone (623) 876-7812.

Contact Information

Primary practice address
15034 N Parkview Pl Surprise AZ 85379-6076
Phone: (623) 876-7812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1619022191
LBN Legal business name Sprouls, Katie Sarah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 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 1619022191 NPPES
Arizona Other 710815 AHCCCS

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