National Provider Identifier
Sparkle Starr Clark
Sparkle Starr Clark is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Rochester, NY and a listed phone number of (585) 208-9280.
Profile Overview
- NPI
- 1194347302
- Provider Type
- Individual
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- 9 Daisy St
- Rochester, NY 14615-3610
Phone: (585) 208-9280
Specialties
- Non-emergency Medical Transport (VAN) (343900000X)
- Non-emergency Medical Transport (VAN) (343900000X)
Full Record
- NPI
- 1194347302
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Sparkle
- Middle Name
- Starr
- Mailing Street Address
- 9 Daisy St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-3610
- Mailing Country
- US
- Mailing Phone
- (585) 208-9280
- Practice Street Address
- 9 Daisy St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-3610
- Practice Country
- US
- Practice Phone
- (585) 208-9280
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 11, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Non-emergency Medical Transport (VAN) (343900000X), Non-emergency Medical Transport (VAN) (343900000X)
- Other Identifiers
- 05097269 (NY, Provider Id), 05097269 (NY)