Stark, Timothy W

Stark, Timothy W is an individual health care provider with primary practice located at 715 13Th Ave E Suite 101, West Fargo ND 58078-3380. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Stark, Timothy W can be contacted via phone (701) 492-0696.

Contact Information

Primary practice address
715 13Th Ave E Suite 101 West Fargo ND 58078-3380
Phone: (701) 492-0696
Fax: (701) 492-0696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 647 North Dakota

Profile Details

NPI number 1811147325
LBN Legal business name Stark, Timothy W
Credentials DC DACBSP ICSSD CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Sep 22nd, 2008 - about 17 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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