Sparks, Gerald J

Sparks, Gerald J is an individual health care provider with primary practice located at 41676 Veterans Ave , Hammond LA 70403-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sparks, Gerald J can be contacted via phone (985) 543-3600.

Contact Information

Primary practice address
41676 Veterans Ave Hammond LA 70403-1412
Phone: (985) 543-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.021501 Louisiana

Profile Details

NPI number 1477595932
LBN Legal business name Sparks, Gerald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1477595932 NPPES
Louisiana MEDICAID 1537993

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