Sparks, William Todd

Sparks, William Todd is an sole proprietor health care provider with primary practice located at 13530 73Rd Ave N , Maple Grove MN 55311-2775. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sparks, William Todd can be contacted via phone (612) 419-8041.

Contact Information

Primary practice address
13530 73Rd Ave N Maple Grove MN 55311-2775
Phone: (612) 419-8041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 003756 Minnesota

Profile Details

NPI number 1245405562
LBN Legal business name Sparks, William Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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 1245405562 NPPES
Minnesota Other 063J7SP BLUE CROSS/BLUE SHIELD

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