Stark, Jack Marshall

Stark, Jack Marshall is an individual health care provider with primary practice located at 100 Reserve Rd Ste A4 , Danbury CT 06810-5267. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stark, Jack Marshall can be contacted via phone (203) 794-1979.

Contact Information

Primary practice address
100 Reserve Rd Ste A4 Danbury CT 06810-5267
Phone: (203) 794-1979
Fax: (203) 794-1796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000044 Connecticut

Profile Details

NPI number 1669436820
LBN Legal business name Stark, Jack Marshall
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 20th, 2022 - 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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