Sparkman, Tyler R
Sparkman, Tyler R is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sparkman, Tyler R can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
4444 E 41St St
Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 660-3132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1373 | Oklahoma |
Profile Details
| NPI number | 1689080665 |
|---|---|
| LBN Legal business name | Sparkman, Tyler R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2014 |
| Last updated | Nov 19th, 2024 - about 2 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 | 1689080665 | NPPES |
| Oklahoma | MEDICAID | 200952840A |
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