Sparks Jenet, Tammy

Sparks Jenet, Tammy is an individual health care provider with primary practice located at 1860 Town Center Pkwy #G100 Reston Surgery Center, Reston VA 20190-3219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sparks Jenet, Tammy can be contacted via phone (703) 471-0919.

Contact Information

Primary practice address
1860 Town Center Pkwy #G100 Reston Surgery Center Reston VA 20190-3219
Phone: (703) 471-0919
Fax: (703) 742-9081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101054984 Virginia

Profile Details

NPI number 1891771127
LBN Legal business name Sparks Jenet, Tammy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1891771127 NPPES
Other 138746 ANTHEM

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