Sparks, Pamela Michelle

Sparks, Pamela Michelle is an individual health care provider with primary practice located at 514 S Bay Rd , Syracuse NY 13212-3627. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Sparks, Pamela Michelle can be contacted via phone (315) 458-1777.

Contact Information

Primary practice address
514 S Bay Rd Syracuse NY 13212-3627
Phone: (315) 458-1777
Fax: (315) 458-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300979 Virginia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006220-1 New York

Profile Details

NPI number 1326251455
LBN Legal business name Sparks, Pamela Michelle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 23rd, 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 1326251455 NPPES
New York MEDICAID 2960630

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