Individual
DR. JACK BRUCE STARKEY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
312 CENTER ST, ASHLAND, OH 44805-3245
(419) 289-0330
(419) 281-5448
Mailing address
312 CENTER ST, ASHLAND, OH 44805-3245
(419) 289-0330
(419) 281-5448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345418
ANTHEM
OH
05
—
0802448
—
OH
01
—
20162371700
BWC GROUP NUMBER
OH
01
—
4400947
UNITED HEALTHCARE
OH
01
—
5001377
AETNA
OH
Enumeration date
06/27/2005
Last updated
07/09/2007
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