Healthcare Provider Details

I. General information

NPI: 1235046582
Provider Name (Legal Business Name): STARLIGHT OSTEOPATHY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 8TH AVE N
HOPKINS MN
55343-7611
US

IV. Provider business mailing address

3436 PILLSBURY AVE S APT 2
MINNEAPOLIS MN
55408-4397
US

V. Phone/Fax

Practice location:
  • Phone: 802-258-0198
  • Fax:
Mailing address:
  • Phone: 802-258-0198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG E GOLDBERG
Title or Position: PARTNER
Credential: DO
Phone: 802-258-0198