Sparks, Thomas Wayne
Sparks, Thomas Wayne is an individual health care provider with primary practice located at Lsu Unit 5825 Airline Highway, Baton Rouge LA 70805. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sparks, Thomas Wayne can be contacted via phone (225) 358-1179.Contact Information
Primary practice address
Lsu Unit 5825 Airline Highway
Baton Rouge LA 70805
Phone: (225) 358-1179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1972500627 |
|---|---|
| LBN Legal business name | Sparks, Thomas Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jun 17th, 2008 - about 16 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 | 1972500627 | NPPES |
| Louisiana | MEDICAID | 1184403 |
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