Sparks, Susan
Sparks, Susan is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Sparks, Susan can be contacted via phone (704) 381-6810.Contact Information
Primary practice address
1000 Blythe Blvd
Charlotte NC 28203-5812
Phone: (704) 381-6810
Fax: (704) 381-6811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101238604 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD035678 | District of Columbia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0065089 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 2009-00112 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009-00112 | North Carolina |
Profile Details
| NPI number | 1881798445 |
|---|---|
| LBN Legal business name | Sparks, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | May 20th, 2009 - about 15 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 | 1881798445 | NPPES |
| Virginia | MEDICAID | 010241294 |
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