Stark, Christal R

Stark, Christal R is an sole proprietor health care provider with primary practice located at 400 Fairview Heights Rd Suite 302, Summersville WV 26651-9308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Stark, Christal R can be contacted via phone (304) 872-7063.

Contact Information

Primary practice address
400 Fairview Heights Rd Suite 302 Summersville WV 26651-9308
Phone: (304) 872-7063
Fax: (304) 872-7080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 67293 West Virginia

Profile Details

NPI number 1639352602
LBN Legal business name Stark, Christal R
Credentials RN, MSN, C-PNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2007
Last updated Aug 12th, 2014 - about 11 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 1639352602 NPPES
West Virginia Other 67293 STATE LICENSE

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