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:
Health care specialties
Specialty | Code | License # | 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 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 | 1548257645 | NPPES |
Ohio | Other | 000000258765 | ANTHEM BLUE CROSS |
Ohio | MEDICAID | 0743584 | ANTHEM BLUE CROSS |
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