Ms Haveliah Stark, LMT is a
Massage Therapist based in Charleston, Illinois. Ms Haveliah Stark is licensed to practice in Illinois (license number 227.012934) and her current practice location is
2115 18th St, Charleston, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 345-4065.
NPI number for Ms Haveliah Stark is 1104377944 and her current mailing address is 1606 11th St, Charleston, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104377944.
Healthcare Provider's Profile
Full Name | Ms Haveliah Stark |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 2115 18th St, Charleston, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104377944
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 10/17/2016
Medical Identifiers
Medical identifiers for Ms Haveliah Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104377944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227.012934 (Illinois) | Primary |
225700000X | Massage Therapist | 7501003525 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Haveliah Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Haveliah Stark, LMT 1606 11th St, Charleston, IL 61920-3509 Ph: (815) 503-0452 | Ms Haveliah Stark, LMT 2115 18th St, Charleston, IL 61920-4338 Ph: (217) 345-4065 |
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