National Provider Identifier Database

GERALD E STARK
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

GERALD E STARK
326 N PALISADES DR
SIGNAL MOUNTAIN, TN37377-3041
Phone: 423-889-1590
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for GERALD E STARK

NPI Number 1184501991
Credentials
Entity Individual
Enumeration date 08/21/2025
Last updated 08/21/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • TN License #: ORT0000000013
  • TN License #: PR00000000014
Hospital affiliation n/a

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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