Stark, Carol Lynn

Stark, Carol Lynn is an individual health care provider with primary practice located at 1163 Country Club Road , Monongahela PA 15063-1095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stark, Carol Lynn can be contacted via phone (724) 258-1000.

Contact Information

Primary practice address
1163 Country Club Road Monongahela PA 15063-1095
Phone: (724) 258-1000
Fax: (724) 258-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN224333L Pennsylvania

Profile Details

NPI number 1134216021
LBN Legal business name Stark, Carol Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134216021 NPPES
Pennsylvania Other ST22201 BLUE SHIELD
Pennsylvania Other 220130 BLUE SHIELD

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