Provider Demographics
NPI:1184118218
Name:SPRAGG, J SUSAN
Entity type:Individual
Prefix:MS
First Name:J
Middle Name:SUSAN
Last Name:SPRAGG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:J
Other - Middle Name:SUSAN
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAHS
Mailing Address - Street 1:437 COUNTY ROAD 71
Mailing Address - Street 2:
Mailing Address - City:ADENA
Mailing Address - State:OH
Mailing Address - Zip Code:43901-7927
Mailing Address - Country:US
Mailing Address - Phone:740-433-5554
Mailing Address - Fax:
Practice Address - Street 1:437 COUNTY ROAD 71
Practice Address - Street 2:
Practice Address - City:ADENA
Practice Address - State:OH
Practice Address - Zip Code:43901-7927
Practice Address - Country:US
Practice Address - Phone:740-433-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty