Provider Demographics
NPI:1205067816
Name:CNI STARKE, LLC
Entity type:Organization
Organization Name:CNI STARKE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATKOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-326-2348
Mailing Address - Street 1:104 E CULVER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KNOX
Mailing Address - State:IN
Mailing Address - Zip Code:46534-2241
Mailing Address - Country:US
Mailing Address - Phone:574-772-1580
Mailing Address - Fax:
Practice Address - Street 1:104 E CULVER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:KNOX
Practice Address - State:IN
Practice Address - Zip Code:46534-2241
Practice Address - Country:US
Practice Address - Phone:574-772-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CNI STARKE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty