Stark, Jeffrey L
Stark, Jeffrey L is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Stark, Jeffrey L can be contacted via phone (410) 521-2200.Contact Information
Primary practice address
5401 Old Court Rd
Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax: (410) 922-6031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C00511 | Maryland |
Profile Details
NPI number | 1356303630 |
---|---|
LBN Legal business name | Stark, Jeffrey L |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Nov 29th, 2007 - about 17 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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