Sparkman, Keith Brian
Sparkman, Keith Brian is an sole proprietor health care provider with primary practice located at 1013 Spring Creek Rd , Chattanooga TN 37412. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sparkman, Keith Brian can be contacted via phone (423) 855-8288.Contact Information
Primary practice address
1013 Spring Creek Rd
Chattanooga TN 37412
Phone: (423) 855-8288
Fax: (423) 855-4527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT1603 | Tennessee |
Profile Details
| NPI number | 1700949989 |
|---|---|
| LBN Legal business name | Sparkman, Keith Brian |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 28th, 2008 - 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 | 1700949989 | NPPES |
| Other | 2240306 | UNITED HEALTH | |
| Other | 3088639 | UNITED HEALTH | |
| Other | 410040394 | UNITED HEALTH | |
| MEDICAID | 3599732 | UNITED HEALTH |
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