Sprouse, John S
Sprouse, John S is an sole proprietor health care provider with primary practice located at 1513 Montague Avenue Ext , Greenwood SC 29649-9030. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Sprouse, John S can be contacted via phone (864) 229-3997.Contact Information
Primary practice address
1513 Montague Avenue Ext
Greenwood SC 29649-9030
Phone: (864) 229-3997
Fax: (864) 388-9419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | South Carolina |
Profile Details
| NPI number | 1568448348 |
|---|---|
| LBN Legal business name | Sprouse, John S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Apr 17th, 2008 - about 18 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 | 1568448348 | NPPES |
| South Carolina | MEDICAID | DM0613 |
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