Sparkes, Shane William

Sparkes, Shane William is an individual health care provider with primary practice located at 2640 Industry Way Stes G, H, Lynwood CA 90262-4284. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sparkes, Shane William can be contacted via phone (310) 631-9763.

Contact Information

Primary practice address
2640 Industry Way Stes G, H Lynwood CA 90262-4284
Phone: (310) 631-9763
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122278 California

Profile Details

NPI number 1356630214
LBN Legal business name Sparkes, Shane William
Credentials MSW, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated May 10th, 2024 - about last year

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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