Stark, Michael Lee
Stark, Michael Lee is an sole proprietor health care provider with primary practice located at 1118 Fairington Dr , Sidney OH 45365-8913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stark, Michael Lee can be contacted via phone (937) 492-3755.Contact Information
Primary practice address
1118 Fairington Dr
Sidney OH 45365-8913
Phone: (937) 492-3755
Fax: (937) 492-1132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 3380 | Ohio |
Profile Details
| NPI number | 1679579577 |
|---|---|
| LBN Legal business name | Stark, Michael Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Sep 16th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679579577 | NPPES |
| Ohio | MEDICAID | 0533462 |
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