Provider Demographics
NPI:1730350927
Name:STARR CHIROPRACTIC, P.S.
Entity type:Organization
Organization Name:STARR CHIROPRACTIC, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WALING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-281-7827
Mailing Address - Street 1:200 W MERCER ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3958
Mailing Address - Country:US
Mailing Address - Phone:206-281-7827
Mailing Address - Fax:206-281-5333
Practice Address - Street 1:200 W MERCER ST
Practice Address - Street 2:STE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3958
Practice Address - Country:US
Practice Address - Phone:206-281-7827
Practice Address - Fax:206-281-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8858832Medicare UPIN