Stark, Robert O
Stark, Robert O is an individual health care provider with primary practice located at 1925 W Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Stark, Robert O can be contacted via phone (303) 776-1234.Contact Information
Primary practice address
1925 W Mountain View Ave
Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 129114 | Colorado |
Profile Details
NPI number | 1124090048 |
---|---|
LBN Legal business name | Stark, Robert O |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124090048 | NPPES |
Colorado | Other | 129114 | LICENSE |
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