Provider Demographics
NPI:1396765533
Name:STARNES, DARYLE J (DC)
Entity type:Individual
Prefix:DR
First Name:DARYLE
Middle Name:J
Last Name:STARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9050 SILVERDALE WAY NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9198
Mailing Address - Country:US
Mailing Address - Phone:360-698-0315
Mailing Address - Fax:360-698-0316
Practice Address - Street 1:9050 SILVERDALE WAY NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9198
Practice Address - Country:US
Practice Address - Phone:360-698-0315
Practice Address - Fax:360-698-0316
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2015873Medicaid
WA0113481OtherDEPT OF LABOR & INDUSTRIE
WAST5599OtherREGENCE
WA192596700OtherOWCP
WAGROUP HEALTHOther317736001
WAT02865Medicare UPIN
WAST5599OtherREGENCE