MEDICARE: DR. JOEL M STARR D.C.

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	01920	MD

General Provider Information

NPI Number	:	1770635526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL M STARR D.C.

Provider Business Mailing Address
First Line	:	11006 VEIRS MILL RD
Second Line	:	#L15-282
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-2582
Country	:	US
Telephone Number	:	301-933-7827
Fax Number	:	240-290-0342

Provider Business Practice Location Address
First Line	:	11301 AMHERST AVE
Second Line	:	#102
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4665
Country	:	US
Telephone Number	:	301-933-7827
Fax Number	:	240-290-0342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	01/13/2010

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