Robert W. Sparks, D.O, P.C.

LBN: Robert W. Sparks, D.O, P.C.
Robert W. Sparks, D.O, P.C. is an health care organization with primary practice located at 2200 S Halliburton St , Kirksville MO 63501-4651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert W. Sparks, D.O, P.C. can be contacted via phone (660) 627-1560, or through Sparks, Robert W via phone (660) 627-1560.

Contact Information

Primary practice address
2200 S Halliburton St Kirksville MO 63501-4651
Phone: (660) 627-1560
Fax: (660) 665-0533
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Robert W Doctor of Osteopathy (DO)
Phone: (660) 627-1560

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9D41 Missouri

Profile Details

NPI number 1992984967
LBN Legal business name Robert W. Sparks, D.O, P.C.
DBA Doing business as
Authorized official Sparks, Robert W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Aug 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992984967 NPPES
Missouri MEDICAID 505674903

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