Sparks, Steven B

Sparks, Steven B is an sole proprietor health care provider with primary practice located at 1723 Columbus Ave Ste D, Sandusky OH 44870-3546. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Sparks, Steven B can be contacted via phone (419) 626-5252.

Contact Information

Primary practice address
1723 Columbus Ave Ste D Sandusky OH 44870-3546
Phone: (419) 626-5252
Fax: (419) 626-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34004735 Ohio

Profile Details

NPI number 1548257645
LBN Legal business name Sparks, Steven B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Aug 27th, 2007 - about 17 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 1548257645 NPPES
Ohio Other 000000258765 ANTHEM BLUE CROSS
Ohio MEDICAID 0743584 ANTHEM BLUE CROSS

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