Sparkman, Mark D
Sparkman, Mark D is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sparkman, Mark D can be contacted via phone (606) 784-4161.Contact Information
Primary practice address
321 E Main St
Morehead KY 40351-1671
Phone: (606) 784-4161
Fax: (606) 783-9952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0189 | Kentucky |
Profile Details
| NPI number | 1033364625 |
|---|---|
| LBN Legal business name | Sparkman, Mark D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Nov 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033364625 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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