Individual
JEFFREY RAY STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11638 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 838-8780
(314) 838-8161
Mailing address
11638 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 838-8780
(314) 838-8161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6731
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126371
BLUE CROSS BLUE SHIELD
MO
01
—
20140300
U.S. DEPT OF LABOR
MO
01
—
399077
HEALTHLINK
MO
01
—
627934
ACN
MO
Enumeration date
09/20/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us