Stark, Craig A
Stark, Craig A is an individual health care provider with primary practice located at 1215 Pleasant St Suite 414, Des Moines IA 50309-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stark, Craig A can be contacted via phone (515) 241-5700.Contact Information
Primary practice address
1215 Pleasant St Suite 414
Des Moines IA 50309-1416
Phone: (515) 241-5700
Fax: (515) 241-5775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-23727 | Iowa |
Profile Details
| NPI number | 1245212075 |
|---|---|
| LBN Legal business name | Stark, Craig A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Mar 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245212075 | NPPES |
| Iowa | Other | P01173061 | RR MEDICARE |
| Iowa | MEDICAID | 6206847 | RR MEDICARE |
| Iowa | MEDICAID | 1245212075 | RR MEDICARE |
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