Provider Demographics
NPI:1104099480
Name:STARKEY, DAVID B (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:STARKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 LASCASSAS PIKE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-6856
Mailing Address - Country:US
Mailing Address - Phone:615-962-8219
Mailing Address - Fax:615-410-7169
Practice Address - Street 1:3624 LASCASSAS PIKE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-6856
Practice Address - Country:US
Practice Address - Phone:615-962-8219
Practice Address - Fax:615-410-7169
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7745171100000X, 111N00000X
TNDC 2230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH7745OtherSTATE OF FLORIDA
FL381465300Medicaid
TNDC 2230OtherSTATE OF TENNESSEE
TNDC 2230OtherSTATE OF TENNESSEE
FL54027ZMedicare UPIN