Individual
DR. JOHN THOMAS STACHURSKI V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2720 N MAIN ST, MADISONVILLE, KY 42431-9470
(270) 825-3995
(270) 825-3895
Mailing address
2720 N MAIN ST, MADISONVILLE, KY 42431-9470
(270) 825-3995
(270) 825-3895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4967
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380972
ANTHAM
KY
01
—
1229422
CHA
KY
Enumeration date
03/02/2007
Last updated
07/08/2007
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