Sparkes, Justin Scott

Sparkes, Justin Scott is an individual health care provider with primary practice located at 4509 Integris Pkwy Ste 200 , Edmond OK 73034-8696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sparkes, Justin Scott can be contacted via phone (405) 657-3950.

Contact Information

Primary practice address
4509 Integris Pkwy Ste 200 Edmond OK 73034-8696
Phone: (405) 657-3950
Fax: (405) 471-0040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4253 Oklahoma

Profile Details

NPI number 1265487946
LBN Legal business name Sparkes, Justin Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 21st, 2022 - about 2 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 1265487946 NPPES
Oklahoma MEDICAID 200044300A

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