Stark, Madeline A
Stark, Madeline A is an individual health care provider with primary practice located at 1225 St Francis Dr Suite F , Santa Fe NM 87505. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stark, Madeline A can be contacted via phone (505) 989-7777.Contact Information
Primary practice address
1225 St Francis Dr Suite F
Santa Fe NM 87505
Phone: (505) 989-7777
Fax: (505) 989-4357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | NM3807 | New Mexico |
Profile Details
| NPI number | 1255497285 |
|---|---|
| LBN Legal business name | Stark, Madeline A |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1255497285 | NPPES |
| New Mexico | MEDICAID | NM101190 |
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