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
Phone: (314) 838-8780
Fax: (314) 838-8161
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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