Stark, Eric R

Stark, Eric R is an individual health care provider with primary practice located at Family Medicine 835 East Fairhaven Avenue, Burlington WA 98233-0329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stark, Eric R can be contacted via phone (360) 856-7960.

Contact Information

Primary practice address
Family Medicine 835 East Fairhaven Avenue Burlington WA 98233-0329
Phone: (360) 856-7960
Fax: (360) 755-1405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00033859 Washington

Profile Details

NPI number 1134198252
LBN Legal business name Stark, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 22nd, 2019 - about 7 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 1134198252 NPPES
Washington MEDICAID 8206153

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