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
Fax: (260) 925-1256
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902018641 NPPES
Indiana MEDICAID 201190690

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