Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL STARK, DPM
Active Sole ProprietorJILL STARK, DPM is a Podiatrist healthcare provider located in BOOTHBAY, Maine. NPI 1336816917 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BOOTHBAY, ME
Registration Details
- NPI Number
- 1336816917
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2021 (4.7886765384439 yrs)
- Last Updated
- Aug 23, 2021
- License
-
006857 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 PENSION RIDGE RDBOOTHBAY, ME, 045374810Browse ME providers · Browse ZIP 04537
- Phone
- 2012945672
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.