Provider Demographics
NPI:1124803614
Name:STARCHER, MATHEW LEE
Entity type:Individual
Prefix:
First Name:MATHEW
Middle Name:LEE
Last Name:STARCHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 LYNN ST APT 308
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WV
Mailing Address - Zip Code:25276-8152
Mailing Address - Country:US
Mailing Address - Phone:304-377-6142
Mailing Address - Fax:
Practice Address - Street 1:265 LYNN ST APT 308
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:WV
Practice Address - Zip Code:25276-8152
Practice Address - Country:US
Practice Address - Phone:304-377-6142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant