Sparks, Brian Wayne

Sparks, Brian Wayne is an sole proprietor health care provider with primary practice located at 407 Gator Cv , Bossier City LA 71111-8219. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sparks, Brian Wayne can be contacted via phone (318) 208-2029.

Contact Information

Primary practice address
407 Gator Cv Bossier City LA 71111-8219
Phone: (318) 208-2029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200306 Louisiana

Profile Details

NPI number 1689907362
LBN Legal business name Sparks, Brian Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2009
Last updated Sep 29th, 2009 - about 16 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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