Sparks, Jaime
Sparks, Jaime is an individual health care provider with primary practice located at 2708 Westmoor Ct Sw , Olympia WA 98502-5754. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sparks, Jaime can be contacted via phone (360) 943-8810.Contact Information
Primary practice address
2708 Westmoor Ct Sw
Olympia WA 98502-5754
Phone: (360) 943-8810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60742749 | Washington |
Profile Details
| NPI number | 1578042651 |
|---|---|
| LBN Legal business name | Sparks, Jaime |
| Credentials | CDPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Aug 9th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578042651 | NPPES |
| Washington | Other | CO60742749 | WASHINGTON STATE DEPT OF HEALTH |
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