Sparks, David Parker

Sparks, David Parker is an individual health care provider with primary practice located at 1105 Fairgrove Church Rd Se , Conover NC 28613-9090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sparks, David Parker can be contacted via phone (828) 267-0551.

Contact Information

Primary practice address
1105 Fairgrove Church Rd Se Conover NC 28613-9090
Fax: (828) 267-0531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19242 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201101511 North Carolina

Profile Details

NPI number 1033116488
LBN Legal business name Sparks, David Parker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 11th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116488 NPPES
Tennessee MEDICAID 3065976

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