Eric Wygant Stark in Lafayette - Anatomic Pathology & Clinical Pathology
Eric Wygant Stark - NPI 1750389169
Eric Wygant Stark is a Anatomic Pathology & Clinical Pathology in Lafayette, Indiana. Eric Wygant Stark practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Eric Wygant Stark is 1750389169. The last update date is 2007-07-16.
Eric Wygant Stark's current location address is Po Box 5628, Lafayette, Indiana. You can contact this provider via phone number 7654484319 and fax number 7654482921. The mailing address for Eric Wygant Stark is Po Box 5628, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Wygant Stark |
|---|---|
| Address | Po Box 5628, Lafayette, Indiana |
| Phone Number | 7654484319 |
| Fax Number | 7654482921 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750389169 |
|---|---|
| Provider Enumeration Date | 2005-07-09 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | Po Box 5628 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479035628 |
| Phone Number | 7654484319 |
| Fax Number | 7654482921 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | 01030271A |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111890E | IN | MEDICARE | |
| CA8380 | IN | RAIL ROAD MEDICARE | |
| 176600B | IN | MEDICARE | |
| 82506 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Eric Wygant Stark by the Centers for Medicare & Medicaid Services (CMS)?
The Eric Wygant Stark has been assigned the NPI (National Provider Identifier) 1750389169. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Eric Wygant Stark is geographically located?
The Eric Wygant Stark is physically situated at the following location: Po Box 5628, Lafayette, IN, 479035628.
What is Eric Wygant Stark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric Wygant Stark's specialized field of practice is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 207Zp0102X.
On what date did the Eric Wygant Stark receive its 1750389169 assignment from the Centers for Medicare & Medicaid Services?
The Eric Wygant Stark was assigned its 1750389169 by the Centers for Medicare & Medicaid Services on 2005-07-09.
As of what date were the details pertaining to Eric Wygant Stark last refreshed?
The information related to the Eric Wygant Stark, including its address, specialty, and other relevant details, was last updated on 2007-07-16.