Provider Demographics
NPI:1497811053
Name:STARNS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:STARNS CHIROPRACTIC LLC
Other - Org Name:PITTSBORO CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:STARNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-892-4700
Mailing Address - Street 1:PO BOX 564
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:46167-0564
Mailing Address - Country:US
Mailing Address - Phone:317-892-4700
Mailing Address - Fax:
Practice Address - Street 1:34 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:IN
Practice Address - Zip Code:46167
Practice Address - Country:US
Practice Address - Phone:317-892-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002206A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V06100Medicare UPIN
230790Medicare ID - Type Unspecified