National Provider Identifier Database

EDWARD M SPROWL III, PAC – NPI #1588696520
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

EDWARD M SPROWL III, PAC
318 ABALONE LOOP
MESCALERO, NM88340
Phone: 575-464-4441
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for EDWARD M SPROWL III

NPI Number 1588696520
Credentials PAC
Entity Individual
Enumeration date 07/07/2006
Last updated 02/11/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • License #: 1016599
  • PA License #: MA001481L
  • AZ Medicaid: 846537
  • NM Medicaid: 38553562
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EDWARD M SPROWL III, PAC

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