Sparks Clinic P.C.

LBN: Sparks Clinic P.C.
Sparks Clinic P.C. is an health care organization with primary practice located at 1410 Crown Dr , Kirksville MO 63501-2548. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sparks Clinic P.C. can be contacted via phone (660) 665-1400, or through Sparks, John Robert via phone (660) 665-1400.

Contact Information

Primary practice address
1410 Crown Dr Kirksville MO 63501-2548
Phone: (660) 665-1400
Fax: (660) 665-2081
Website:
Map and Directions
Authorized official contact:
Name: Sparks, John Robert Doctor of Osteopathy (DO)
Phone: (660) 665-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5954 Missouri

Profile Details

NPI number 1215124276
LBN Legal business name Sparks Clinic P.C.
DBA Doing business as
Authorized official Sparks, John Robert Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Nov 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215124276 NPPES
Missouri Other DG0675 PALMETTO GBA

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