| Katherine R Spragg Llc | |
|
404 Hamilton Rd Ste 2 Wapakoneta OH 45895-1156 | |
| (419) 405-3508 | |
| Not Available |
| Full Name | Katherine R Spragg Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 404 Hamilton Rd Ste 2, Wapakoneta, Ohio |
| Authorized Official Name and Position | Katherine R Spragg (INDEPENDENT SOCIAL WORKER) |
| Authorized Official Contact | 6146575338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine R Spragg Llc Po Box 265 New Bremen OH 45869-0265 Ph: (614) 657-5338 | Katherine R Spragg Llc 404 Hamilton Rd Ste 2 Wapakoneta OH 45895-1156 Ph: (419) 405-3508 |
| NPI Number | 1457977001 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 6406271428 |
|---|---|
| Medicare Enrollment ID | O20200806003248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457977001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Katherine R Spragg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144723271 PECOS PAC ID: 7012332034 Enrollment ID: I20200909003416 |
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