Sparks, Alisande B

Sparks, Alisande B is an individual health care provider with primary practice located at 30 W Cole Rd , Biddeford ME 04005-9458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sparks, Alisande B can be contacted via phone (207) 282-9080.

Contact Information

Primary practice address
30 W Cole Rd Biddeford ME 04005-9458
Fax: (207) 282-9180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013220 Maine

Profile Details

NPI number 1407812316
LBN Legal business name Sparks, Alisande B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1407812316 NPPES
Maine Other 027405 ANTHEM
Maine Other 2070058 ANTHEM
Maine Other F20883 ANTHEM
Maine Other M10002501 ANTHEM

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