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Contact Information

BRETT STARK DPM PC
785 N DEAN RD
SUITE 100
AUBURN, AL36830-4033
 Phone: 334-466-1401
 Fax: 334-466-1433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRETT STARK DPM PC · (Female)

NPI # 1497816458
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 225
  • AL Other 51503568 BCBS
  • AL Other 4318200001 MEDICARE
  • AL Other 480033606 RAILROAD MEDICARE
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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