Stark, Grant

Stark, Grant is an individual health care provider with primary practice located at 5700 E River Rd , Fridley MN 55432-6149. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Stark, Grant can be contacted via phone (763) 571-3150.

Contact Information

Primary practice address
5700 E River Rd Fridley MN 55432-6149
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 528350 Minnesota

Profile Details

NPI number 1649960386
LBN Legal business name Stark, Grant
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2023
Last updated May 8th, 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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