Stark, Julie
Stark, Julie is an individual health care provider with primary practice located at 1306 E 7Th St Ste A , Auburn IN 46706-2537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stark, Julie can be contacted via phone (260) 925-1255.Contact Information
Primary practice address
1306 E 7Th St Ste A
Auburn IN 46706-2537
Phone: (260) 925-1255
Fax: (260) 925-1256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01073161A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036121864 | Illinois |
Profile Details
| NPI number | 1902018641 |
|---|---|
| LBN Legal business name | Stark, Julie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902018641 | NPPES |
| Indiana | MEDICAID | 201190690 |
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