Robert Dean Clark in Winslow - Chiropractor
Robert Dean Clark - NPI 1629174461
Robert Dean Clark is a Chiropractor in Winslow, Maine. Robert Dean Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert Dean Clark is 1629174461. The last update date is 2007-07-08.
Robert Dean Clark's current location address is 28 Clinton Ave Ste 2, Winslow, Maine. You can contact this provider via phone number 2078730904 and fax number 2078730904. The mailing address for Robert Dean Clark is 28 Clinton Ave Ste 2, Winslow, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Dean Clark |
|---|---|
| Address | 28 Clinton Ave Ste 2, Winslow, Maine |
| Phone Number | 2078730904 |
| Fax Number | 2078730904 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629174461 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28 Clinton Ave Ste 2 |
|---|---|
| City | Winslow |
| State | Maine (ME) |
| Post Code | 49017076 |
| Phone Number | 2078730904 |
| Fax Number | 2078730904 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CR1063 |
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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 |
|---|---|---|---|
| C0425 | ME | ANTHEM BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Dean Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Dean Clark has been assigned the NPI (National Provider Identifier) 1629174461. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Robert Dean Clark's physical address?
The Robert Dean Clark is physically located at 28 Clinton Ave Ste 2, in the city of Winslow, ME, with the postal code 49017076.
What is Robert Dean Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Dean Clark is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Robert Dean Clark receive its 1629174461 assignment from the Centers for Medicare & Medicaid Services?
The Robert Dean Clark was assigned its 1629174461 by the Centers for Medicare & Medicaid Services on 2006-09-16.
When was the information regarding Robert Dean Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Dean Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.