Sparks, Sara Nicole

Sparks, Sara Nicole is an individual health care provider with primary practice located at 812 University St , Pella IA 50219-1902. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Sparks, Sara Nicole can be contacted via phone (877) 462-3687.

Contact Information

Primary practice address
812 University St Pella IA 50219-1902
Phone: (877) 462-3687
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 108741 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1184279325
LBN Legal business name Sparks, Sara Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Jun 11th, 2021 - about 3 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 1184279325 NPPES
Iowa MEDICAID 1982665A

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