Sparks, Rickey Joe

Sparks, Rickey Joe is an sole proprietor health care provider with primary practice located at 904 W South Park Blvd , Broken Arrow OK 74011-2042. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sparks, Rickey Joe can be contacted via phone (918) 455-2714.

Contact Information

Primary practice address
904 W South Park Blvd Broken Arrow OK 74011-2042
Phone: (918) 455-2714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 391 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1588 Oklahoma

Profile Details

NPI number 1184935280
LBN Legal business name Sparks, Rickey Joe
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2010
Last updated Jun 23rd, 2010 - about 16 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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