Stark, Jeffrey Ray

Stark, Jeffrey Ray is an sole proprietor health care provider with primary practice located at 11638 W Florissant Ave , Florissant MO 63033-6723. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stark, Jeffrey Ray can be contacted via phone (314) 838-8780.

Contact Information

Primary practice address
11638 W Florissant Ave Florissant MO 63033-6723
Fax: (314) 838-8161
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6731 Missouri

Profile Details

NPI number 1598863748
LBN Legal business name Stark, Jeffrey Ray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598863748 NPPES
Missouri Other 399077 HEALTHLINK
Missouri Other 627934 HEALTHLINK
Missouri Other 20140300 HEALTHLINK
Missouri Other 126371 HEALTHLINK

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