Provider Demographics
NPI:1942498696
Name:STARNS, JOEL RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:RAE
Last Name:STARNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W MAIN ST
Mailing Address - Street 2:PO BOX 564
Mailing Address - City:PITTSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:46167-9097
Mailing Address - Country:US
Mailing Address - Phone:317-892-4700
Mailing Address - Fax:
Practice Address - Street 1:34 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:IN
Practice Address - Zip Code:46167-9097
Practice Address - Country:US
Practice Address - Phone:317-892-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002206A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INV06100Medicare PIN
IN230790AMedicare PIN