Stark, Stacey
Stark, Stacey is an individual health care provider with primary practice located at 82 New Park Ave , North Franklin CT 06254-1807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stark, Stacey can be contacted via phone (860) 823-6221.Contact Information
Primary practice address
82 New Park Ave
North Franklin CT 06254-1807
Phone: (860) 823-6221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1306956073 |
|---|---|
| LBN Legal business name | Stark, Stacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306956073 | NPPES |
| Florida | Other | PT21572 | LICENSE # |
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