Starr, Mark A

Starr, Mark A is an individual health care provider with primary practice located at 260 26Th St , Prairie Du Sac WI 53578-2203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Starr, Mark A can be contacted via phone (608) 643-3311.

Contact Information

Primary practice address
260 26Th St Prairie Du Sac WI 53578-2203
Phone: (608) 643-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 78601 Wisconsin

Profile Details

NPI number 1972560530
LBN Legal business name Starr, Mark A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 1st, 2014 - about 10 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 1972560530 NPPES
Other 430023952 RAILROAD MEDICARE
MEDICAID 43290700 RAILROAD MEDICARE

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