Starks, Timothy S

Starks, Timothy S is an sole proprietor health care provider with primary practice located at 525 31St Ave Sw , Minot ND 58701-7036. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Starks, Timothy S can be contacted via phone (701) 500-5430.

Contact Information

Primary practice address
525 31St Ave Sw Minot ND 58701-7036
Fax: (701) 355-6800
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3845 North Dakota

Profile Details

NPI number 1699967109
LBN Legal business name Starks, Timothy S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Dec 12th, 2023 - 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 1699967109 NPPES
North Dakota MEDICAID 74088

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