Sparacino, Kathy Jean

Sparacino, Kathy Jean is an individual health care provider with primary practice located at 1107 14Th Ave Se Suite G100, Decatur AL 35601-3309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sparacino, Kathy Jean can be contacted via phone (256) 340-5150.

Contact Information

Primary practice address
1107 14Th Ave Se Suite G100 Decatur AL 35601-3309
Phone: (256) 340-5150
Fax: (256) 340-5153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD41025 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16163 Alabama

Profile Details

NPI number 1255441705
LBN Legal business name Sparacino, Kathy Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255441705 NPPES
Alabama Other 891-09587 BCBS OF ALABAMA
Alabama MEDICAID 009938191 BCBS OF ALABAMA

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