Sparks, Joshua David

Sparks, Joshua David is an individual health care provider with primary practice located at 411 E Chestnut St # 5A , Louisville KY 40202-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Sparks, Joshua David can be contacted via phone (502) 588-7450.

Contact Information

Primary practice address
411 E Chestnut St # 5A Louisville KY 40202-1713
Fax: (502) 588-7728
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 45423 Kentucky

Profile Details

NPI number 1457480527
LBN Legal business name Sparks, Joshua David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 27th, 2020 - about 4 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 1457480527 NPPES
Kentucky MEDICAID 7100223630

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