Provider Demographics
NPI:1295828838
Name:STARBUCK, CHERIE FARRAR (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:FARRAR
Last Name:STARBUCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 N 7
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:KS
Mailing Address - Zip Code:66736
Mailing Address - Country:US
Mailing Address - Phone:620-378-8448
Mailing Address - Fax:620-378-8450
Practice Address - Street 1:432 N 7
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:KS
Practice Address - Zip Code:66736
Practice Address - Country:US
Practice Address - Phone:620-378-8448
Practice Address - Fax:620-378-8450
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU83715Medicare UPIN
KS060482Medicare ID - Type UnspecifiedPROVIDER NUMBER