Stark, Gregory P

Stark, Gregory P is an individual health care provider with primary practice located at 613 23Rd St Ste G10 , Ashland KY 41101-2886. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Stark, Gregory P can be contacted via phone (606) 408-5864.

Contact Information

Primary practice address
613 23Rd St Ste G10 Ashland KY 41101-2886
Phone: (606) 408-5864
Fax: (606) 408-6499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25378 Kentucky

Profile Details

NPI number 1962500967
LBN Legal business name Stark, Gregory P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Nov 7th, 2018 - about 6 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 1962500967 NPPES
Kentucky MEDICAID 64253784
Kentucky Other 0925235

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