Provider Demographics
NPI:1457492142
Name:SPARLING, ROBERT B (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SPARLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1444
Mailing Address - Country:US
Mailing Address - Phone:732-530-2120
Mailing Address - Fax:732-530-9338
Practice Address - Street 1:530 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1444
Practice Address - Country:US
Practice Address - Phone:732-530-2120
Practice Address - Fax:732-530-9338
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ521028Medicare ID - Type UnspecifiedMEDICARE NUMBER