Stark, Malcolm Truman
Stark, Malcolm Truman is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Stark, Malcolm Truman can be contacted via phone (336) 547-1700.Contact Information
Primary practice address
520 N Elam Ave
Greensboro NC 27403-1127
Phone: (336) 547-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35521 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35521 | North Carolina |
Profile Details
| NPI number | 1891745261 |
|---|---|
| LBN Legal business name | Stark, Malcolm Truman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Sep 20th, 2021 - about 5 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 | 1891745261 | NPPES |
| North Carolina | Other | 4238777 | AETNA |
| North Carolina | MEDICAID | 8979130 | AETNA |
| North Carolina | Other | 2109 | AETNA |
| North Carolina | Other | 42358 | AETNA |
| North Carolina | Other | 79365 | AETNA |
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