Stark, Stuart R

Stark, Stuart R is an individual health care provider with primary practice located at 6845 Elm St Ste 514 , Mc Lean VA 22101-3822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Stark, Stuart R can be contacted via phone (703) 266-6500.

Contact Information

Primary practice address
6845 Elm St Ste 514 Mc Lean VA 22101-3822
Fax: (703) 229-0367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101035202 Virginia

Profile Details

NPI number 1508836578
LBN Legal business name Stark, Stuart R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 6th, 2018 - about 8 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 1508836578 NPPES
Virginia Other 884143 MEDICARE PTAN
Virginia MEDICAID 7101937 MEDICARE PTAN

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