Sparks, Matthew A

Sparks, Matthew A is an individual health care provider with primary practice located at 40 Duke Medicine Cir , Durham NC 27710-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Sparks, Matthew A can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
40 Duke Medicine Cir Durham NC 27710-4000
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-4947 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2007-00573 North Carolina

Profile Details

NPI number 1487754024
LBN Legal business name Sparks, Matthew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated May 3rd, 2012 - about 13 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 1487754024 NPPES
Arkansas Other 06080016100 QUALCHOICE
Arkansas Other P00351561 QUALCHOICE
Arkansas MEDICAID 162843001 QUALCHOICE
Arkansas Other 5N634 QUALCHOICE
Arkansas Other T2006094 QUALCHOICE

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