Sparks, Michael B

Sparks, Michael B is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sparks, Michael B can be contacted via phone (603) 650-5155.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Phone: (603) 650-5155
Fax: (603) 650-2097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10404 New Hampshire

Profile Details

NPI number 1023044930
LBN Legal business name Sparks, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 13th, 2011 - 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 1023044930 NPPES
Vermont MEDICAID 0RE4900
Vermont MEDICAID 30011628

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