Stark, Christopher Jon

Stark, Christopher Jon is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stark, Christopher Jon can be contacted via phone (719) 595-2218.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 595-2218
Fax: (719) 595-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39876 Kentucky
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 50157 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0058428 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0058428 Colorado

Profile Details

NPI number 1013936764
LBN Legal business name Stark, Christopher Jon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 12th, 2023 - about 2 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 1013936764 NPPES
Kentucky MEDICAID 64125065
Kentucky MEDICAID 9000147685

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