Sparks, Jeffrey O

Sparks, Jeffrey O is an individual health care provider with primary practice located at 1234 Huffman Mill Road , Burlington NC 27215-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sparks, Jeffrey O can be contacted via phone (336) 538-1234.

Contact Information

Primary practice address
1234 Huffman Mill Road Burlington NC 27215-8700
Fax: (336) 584-6811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34228 North Carolina

Profile Details

NPI number 1811958168
LBN Legal business name Sparks, Jeffrey O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 28th, 2023 - about last year

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 1811958168 NPPES
North Carolina Other 1382U BCBS
North Carolina MEDICAID 8978567 BCBS

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