Sparks, William Todd
Sparks, William Todd is an sole proprietor health care provider with primary practice located at 13530 73Rd Ave N , Maple Grove MN 55311-2775. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sparks, William Todd can be contacted via phone (612) 419-8041.Contact Information
Primary practice address
13530 73Rd Ave N
Maple Grove MN 55311-2775
Phone: (612) 419-8041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 003756 | Minnesota |
Profile Details
| NPI number | 1245405562 |
|---|---|
| LBN Legal business name | Sparks, William Todd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 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 | 1245405562 | NPPES |
| Minnesota | Other | 063J7SP | BLUE CROSS/BLUE SHIELD |
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