Individual
DR. LESLIE STARR-OMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
501 SE 2ND ST, WASHINGTON, IN 47501-4043
(812) 254-0476
(812) 254-0477
Mailing address
501 SE 2ND ST, WASHINGTON, IN 47501-4043
(812) 254-0476
(812) 254-0476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001602
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042620
—
IN
01
—
P00462434
PALMETTO GBA- RAILROAL MEDICARE
IN
Enumeration date
10/13/2006
Last updated
08/11/2011
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