Sparks, Erin Victoria

Sparks, Erin Victoria is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Suite 322W, Charleston SC 29414-5740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Sparks, Erin Victoria can be contacted via phone (843) 402-5035.

Contact Information

Primary practice address
2097 Henry Tecklenburg Dr Suite 322W Charleston SC 29414-5740
Phone: (843) 402-5035
Fax: (843) 402-5036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32924 South Carolina

Profile Details

NPI number 1164733366
LBN Legal business name Sparks, Erin Victoria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Feb 7th, 2015 - about 10 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 1164733366 NPPES
South Carolina MEDICAID 329246

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