Sparks, David A.

Sparks, David A. is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sparks, David A. can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3810
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36170 Tennessee

Profile Details

NPI number 1659363943
LBN Legal business name Sparks, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 20th, 2013 - about 12 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 1659363943 NPPES
Virginia MEDICAID 007214758
Virginia Other 4036109
Virginia MEDICAID 6469708900
Virginia Other 245789
Virginia Other R06903
Virginia Other 300130692

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