Ronald Frederick Clark in West Hartford - Chiropractor
Ronald Frederick Clark - NPI 1588762801
Ronald Frederick Clark is a Chiropractor in West Hartford, Connecticut. Ronald Frederick Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ronald Frederick Clark is 1588762801. The last update date is 2007-07-08.
Ronald Frederick Clark's current location address is 5 Newington Road, West Hartford, Connecticut. You can contact this provider via phone number 8602363364 and fax number 8602363364. The mailing address for Ronald Frederick Clark is 5 Newington Road, West Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Frederick Clark |
|---|---|
| Address | 5 Newington Road, West Hartford, Connecticut |
| Phone Number | 8602363364 |
| Fax Number | 8602363364 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588762801 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Newington Road |
|---|---|
| City | West Hartford |
| State | Connecticut (CT) |
| Post Code | 61102310 |
| Phone Number | 8602363364 |
| Fax Number | 8602363364 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 210 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4046611 | CT | -- | |
| 050000210CT01 | CT | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronald Frederick Clark by the Centers for Medicare & Medicaid Services?
The Ronald Frederick Clark has been issued the NPI (National Provider Identifier) 1588762801 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ronald Frederick Clark is located?
The Ronald Frederick Clark is situated at the following address: 5 Newington Road, West Hartford, CT, 61102310.
What is Ronald Frederick Clark's area of expertise and its corresponding taxonomy classification?
The Ronald Frederick Clark's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1588762801 to Ronald Frederick Clark?
The Centers for Medicare & Medicaid Services assigned the 1588762801 to Ronald Frederick Clark on 2006-09-20.
When was the information related to Ronald Frederick Clark most recently updated or refreshed?
The details pertaining to the Ronald Frederick Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY