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Contact Information

BRIAN A STARK, CRNA
5604 FRIENDSHIP RD
HALETHORPE, MD21227
 Phone: 410-242-8728
 Fax: 410-242-8728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for BRIAN A STARK · (Male)

NPI # 1093745093
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/04/2006
Last updated 10/25/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # R083302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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