Stark Chiropractic, Inc. in Tustin - Chiropractor
Stark Chiropractic, Inc. - NPI 1306040001
Stark Chiropractic, Inc. is a Chiropractor in Tustin, California. Stark Chiropractic, Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stark Chiropractic, Inc. is 1306040001. The last update date is 2011-02-16.
Stark Chiropractic, Inc.'s current location address is 13771 Newport Ave, Tustin, California. You can contact this provider via phone number 7143687600 and fax number 7143687630. The mailing address for Stark Chiropractic, Inc. is 13771 Newport Ave, Tustin, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Stark Chiropractic, Inc. |
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Address | 13771 Newport Ave, Tustin, California |
Phone Number | 7143687600 |
Fax Number | 7143687630 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Stark Russell Clinton |
Credentials | D.C. |
Telephone Number | 7143687600 |
NPI Number Detail
NPI Number | 1306040001 |
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Provider Enumeration Date | 2007-06-14 |
Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
Address | 13771 Newport Ave |
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City | Tustin |
State | California (CA) |
Post Code | 927804693 |
Phone Number | 7143687600 |
Fax Number | 7143687630 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | DC24623 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code assigned to Stark Chiropractic, Inc. by the Centers for Medicare & Medicaid Services?
The Stark Chiropractic, Inc. has been issued the NPI (National Provider Identifier) 1306040001, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stark Chiropractic, Inc.'s physical address?
The Stark Chiropractic, Inc. is physically located at 13771 Newport Ave, in the city of Tustin, CA, with the postal code 927804693.
What is Stark Chiropractic, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stark Chiropractic, Inc. is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306040001 to Stark Chiropractic, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1306040001 to Stark Chiropractic, Inc. on 2007-06-14.
When was the Stark Chiropractic, Inc.'s information last updated?
The Stark Chiropractic, Inc.'s information was last updated on 2011-02-16.
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