Stark, Stephen

Stark, Stephen is an sole proprietor health care provider with primary practice located at 500 University Ave Ste 104 , Sacramento CA 95825-6504. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Stark, Stephen can be contacted via phone (916) 425-0404.

Contact Information

Primary practice address
500 University Ave Ste 104 Sacramento CA 95825-6504
Phone: (916) 425-0404
Fax: (916) 678-6762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G60200 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X G60200 California

Profile Details

NPI number 1932140027
LBN Legal business name Stark, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 21st, 2022 - about 2 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 1932140027 NPPES
California MEDICAID 00G602000
California Other A53563

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