Sparks, Jessica M

Sparks, Jessica M is an individual health care provider with primary practice located at 1518 S 3Rd St , Ironton OH 45638-2140. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sparks, Jessica M can be contacted via phone (740) 532-7855.

Contact Information

Primary practice address
1518 S 3Rd St Ironton OH 45638-2140
Phone: (740) 532-7855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C0700379 Ohio

Profile Details

NPI number 1194966838
LBN Legal business name Sparks, Jessica M
Credentials PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2009
Last updated Apr 27th, 2009 - about 17 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 1194966838 NPPES
Ohio MEDICAID 09425

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