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
Fax: (360) 675-0275
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598719841 NPPES
Washington MEDICAID 8180952

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