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NPI Code Detail

MEDICARE: CHRISTOPHER A SPRINKEL PA-C

MEDICARE: CHRISTOPHER A SPRINKEL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085000759IL

General Provider Information

NPI Number : 1346244241
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER A SPRINKEL PA-C
Provider Business Mailing Address
First Line : 1025 S 6TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-2403
Country : US
Telephone Number : 217-528-7541
Fax Number :
Provider Business Practice Location Address
First Line : 1025 S 6TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-2403
Country : US
Telephone Number : 217-528-7541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 05/19/2020

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Directions to “ CHRISTOPHER A SPRINKEL PA-C” Practice Location

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