MEDICARE: STARNOVUS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1639926942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARNOVUS LLC

Provider Business Mailing Address
First Line	:	PO BOX 102
Second Line	:
City	:	FARMINGTON
State	:	MN
Zip	:	55024-0102
Country	:	US
Telephone Number	:	952-393-3620
Fax Number	:

Provider Business Practice Location Address
First Line	:	7741 AMANA TRL
Second Line	:
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-2615
Country	:	US
Telephone Number	:	651-371-9100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HITESH SONEJI
Credential	:
Telephone Number	:	952-393-3620

Provider Enumeration Date	:	05/03/2024
Last Update Date	:	05/03/2024

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Directions to “STARNOVUS LLC ” Practice Location

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