Stark, Brian Anthony

Stark, Brian Anthony is an sole proprietor health care provider with primary practice located at N84W15959 Appleton Ave , Menomonee Falls WI 53051-3044. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stark, Brian Anthony can be contacted via phone (262) 251-6555.

Contact Information

Primary practice address
N84W15959 Appleton Ave Menomonee Falls WI 53051-3044
Phone: (262) 251-6555
Fax: (262) 251-9518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001496G Wisconsin

Profile Details

NPI number 1932263944
LBN Legal business name Stark, Brian Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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