Sparks, Stephen Edward
Sparks, Stephen Edward is an sole proprietor health care provider with primary practice located at 505 N Madison St , Bloomfield IA 52537-1247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sparks, Stephen Edward can be contacted via phone (641) 664-1233.Contact Information
Primary practice address
505 N Madison St
Bloomfield IA 52537-1247
Phone: (641) 664-1233
Fax: (641) 664-1232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22623 | Iowa |
Profile Details
| NPI number | 1376561951 |
|---|---|
| LBN Legal business name | Sparks, Stephen Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 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 | 1376561951 | NPPES |
| Iowa | MEDICAID | 2206599 |
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