Provider Demographics
NPI:1841818002
Name:STARKEY, THOMAS EDWARD SR
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:EDWARD
Last Name:STARKEY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CHESTNUT LN APT J315
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1021
Mailing Address - Country:US
Mailing Address - Phone:216-244-0457
Mailing Address - Fax:
Practice Address - Street 1:135 CHESTNUT LN APT J315
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-1021
Practice Address - Country:US
Practice Address - Phone:216-244-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT634692343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)