Stark, Michael E.

Stark, Michael E. is an individual health care provider with primary practice located at 2000 Regency Ct Ste 100, Toledo OH 43623-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stark, Michael E. can be contacted via phone (419) 841-6600.

Contact Information

Primary practice address
2000 Regency Ct Ste 100 Toledo OH 43623-3075
Phone: (419) 841-6600
Fax: (419) 841-6677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 042794 Ohio

Profile Details

NPI number 1487657326
LBN Legal business name Stark, Michael E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 5th, 2012 - about 12 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 1487657326 NPPES
Ohio MEDICAID 0488502
Ohio Other 104389683

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