Stark, Nathene Lynne

Stark, Nathene Lynne is an individual health care provider with primary practice located at 1030 Jefferson Ave N&Fs (120), Memphis TN 38104-2127. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Stark, Nathene Lynne can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave N&Fs (120) Memphis TN 38104-2127
Phone: (901) 523-8990
Fax: (901) 577-7413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDN0000000603 Tennessee

Profile Details

NPI number 1063422780
LBN Legal business name Stark, Nathene Lynne
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063422780 NPPES
Tennessee Other LDN0000000603 LICENSED DIETITIAN/NUTRIT
Tennessee Other 447145 LICENSED DIETITIAN/NUTRIT

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