Sparks, Pamela Gail

Sparks, Pamela Gail is an sole proprietor health care provider with primary practice located at 106 W 5Th St , Okmulgee OK 74447-7301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sparks, Pamela Gail can be contacted via phone (918) 759-2100.

Contact Information

Primary practice address
106 W 5Th St Okmulgee OK 74447-7301
Phone: (918) 759-2100
Fax: (918) 759-2150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4565 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 725 Oklahoma

Profile Details

NPI number 1659560043
LBN Legal business name Sparks, Pamela Gail
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Jul 29th, 2016 - about 10 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 1659560043 NPPES
Oklahoma Other 300522336 MEDICARE

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