Provider Demographics
NPI:1700977063
Name:STARNER, MATTHEW E (HIS)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:E
Last Name:STARNER
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 S WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-5651
Mailing Address - Country:US
Mailing Address - Phone:740-454-5143
Mailing Address - Fax:
Practice Address - Street 1:420 GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4345
Practice Address - Country:US
Practice Address - Phone:740-344-1201
Practice Address - Fax:740-344-1298
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2459237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist