National Provider Identifier Database

CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
Rural Health


Contact Information

CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
187 W MAIN ST
DECATURVILLE, TN38329-8078
Phone: 731-852-2761
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE

NPI Number 1730610452
Legal business name
LBN
CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
Authorized official CHELSEY SPARKS - (FNP)
Entity Organization
Organization subpart No
Enumeration date 03/23/2017
Last updated 06/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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