Sparks, Geraldine

Sparks, Geraldine is an individual health care provider with primary practice located at 4110 Warrensville Center Rd , Warrensville Heights OH 44122-7024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Sparks, Geraldine can be contacted via phone (216) 491-7483.

Contact Information

Primary practice address
4110 Warrensville Center Rd Warrensville Heights OH 44122-7024
Phone: (216) 491-7483
Fax: (216) 491-6549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN197164 Ohio

Profile Details

NPI number 1689709628
LBN Legal business name Sparks, Geraldine
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Apr 27th, 2010 - about 15 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 1689709628 NPPES
Ohio MEDICAID 2734018

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