Provider Demographics
NPI:1497211874
Name:STAR CLINICS INC
Entity Type:Organization
Organization Name:STAR CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-842-7069
Mailing Address - Street 1:8408 RUTHERFORD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7225
Mailing Address - Country:US
Mailing Address - Phone:614-842-7069
Mailing Address - Fax:
Practice Address - Street 1:10248 SAWMILL PKWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9189
Practice Address - Country:US
Practice Address - Phone:614-389-4945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty