Stark, John B

Stark, John B is an individual health care provider with primary practice located at One Orthopaedic Place , St. Augustine FL 32086-4202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Stark, John B can be contacted via phone (904) 825-0540.

Contact Information

Primary practice address
One Orthopaedic Place St. Augustine FL 32086-4202
Phone: (904) 825-0540
Fax: (904) 209-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME96534 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME96534 Florida

Profile Details

NPI number 1922087618
LBN Legal business name Stark, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2019 - about 5 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 1922087618 NPPES
Illinois MEDICAID 036112556
Illinois Other 1174540001
Illinois Other 1174540001

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