Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHESTER STARKS JR., RCIS,RCS
Active Sole ProprietorTumor Registrar · GARY, IN
Registration Details
- NPI Number
- 1790086460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2010 (15.449421173147 yrs)
- Last Updated
- Sep 14, 2016
- Licenses
-
00039743 (IN)00039743 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1149 POLK STGARY, IN, 464073808Browse IN providers · Browse ZIP 46407
- Phone
- 2198959695
- Primary Specialty
-
Tumor Registrar
246XS1301X
- Additional Specialty
- Tumor Registrar
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.