Sparks, Cheryl

Sparks, Cheryl is an individual health care provider with primary practice located at 4988 State Highway 30 Amsterdam Memorial Health Center, Amsterdam NY 12010-7520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sparks, Cheryl can be contacted via phone (518) 843-4356.

Contact Information

Primary practice address
4988 State Highway 30 Amsterdam Memorial Health Center Amsterdam NY 12010-7520
Fax: (518) 843-6513
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3034691 New York

Profile Details

NPI number 1184727653
LBN Legal business name Sparks, Cheryl
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 16th, 2016 - about 9 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 1184727653 NPPES
Other 547811 BLUE CHOICE
Other 10001883 BLUE CHOICE
Other 08230 BLUE CHOICE
MEDICAID 01170667 BLUE CHOICE
Other 000401398001 BLUE CHOICE

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