Sparks, Clayton E
Sparks, Clayton E is an individual health care provider with primary practice located at 3227 Henderson Drive Ext. , Jacksonville NC 28546. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sparks, Clayton E can be contacted via phone (910) 355-2225.Contact Information
Primary practice address
3227 Henderson Drive Ext.
Jacksonville NC 28546
Phone: (910) 355-2225
Fax: (910) 938-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2590 | North Carolina |
Profile Details
| NPI number | 1477517936 |
|---|---|
| LBN Legal business name | Sparks, Clayton E |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 10th, 2014 - about 12 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 | 1477517936 | NPPES |
| North Carolina | MEDICAID | 890838 | |
| North Carolina | MEDICAID | 890838V |
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