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General NPI Number Information
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NPI Number | 1861681280
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Entity Type | Organization
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Legal Business Name | STAREK CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 12481 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136
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Country | US
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Telephone | 440-238-4766
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Fax | 440-238-4957
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Provider Business Mailing Address
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Address Line | 12481 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136
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Country | US
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Telephone | 440-238-4766
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Fax | 440-238-4957
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES WILLIAM STAREK
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Credential | D.C.
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Telephone | 440-238-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2746
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License Number State | OH
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