Sparks, Shane

Sparks, Shane is an sole proprietor health care provider with primary practice located at 2 Saint Vincent Cir , Little Rock AR 72205-5423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Sparks, Shane can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
2 Saint Vincent Cir Little Rock AR 72205-5423
Phone: (501) 686-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-6553 Arkansas
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X E-6553 Arkansas

Profile Details

NPI number 1306032438
LBN Legal business name Sparks, Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2007
Last updated Dec 13th, 2016 - about 8 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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