Mr. Jason R Spruill
Occupational Therapist Occupational Therapist - Hand
101 Medical Drive
Elizabeth City
, North Carolina 27909
Mr. Jason R Spruill
Occupational Therapist Occupational Therapist - Hand
101 Medical Drive
Elizabeth City
, North Carolina 27909
(252) 338-2115
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mr. Jason R Spruill
- 101 Medical Drive
- Elizabeth City, NC
- Zip : 27909
- Fax : (252) 338-2115
- Phone : (252) 338-2114
Second Address
- Mr. Jason R Spruill
- 101 Medical Drive
- Elizabeth City, NC
- Zip : 27909
- Fax : (252) 338-2115
- Phone : (252) 338-2114
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Is Mr. Jason R Spruill a sole practitioner?
Is Mr. Jason R Spruill accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4576 | NC |
| N | 225XH1200X | Occupational Therapist - Hand | 4576 | NC |
National Provider Identifier
| NPI | 1205983384 |
|---|---|
| Provider Name | Mr. Jason R Spruill |
| First Address | Elizabeth City, NC 27909 |
| Second Address | Elizabeth City, NC 27909 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 25/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1417N | BCBS (01) | NC |
| 7301483 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.