Sparks, Sidney Dana
Sparks, Sidney Dana is an individual health care provider with primary practice located at 275 Se Cabot Dr Suite B-102, Oak Harbor WA 98277-3715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sparks, Sidney Dana can be contacted via phone (360) 675-5555.Contact Information
Primary practice address
275 Se Cabot Dr Suite B-102
Oak Harbor WA 98277-3715
Phone: (360) 675-5555
Fax: (360) 675-0275
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00033179 | Washington |
Profile Details
NPI number | 1598719841 |
---|---|
LBN Legal business name | Sparks, Sidney Dana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598719841 | NPPES |
Washington | MEDICAID | 8180952 |
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