Jeffery A Clark, Dc, Pc in Lake Orion - Chiropractor
Jeffery A Clark, Dc, Pc - NPI 1639285174
Jeffery A Clark, Dc, Pc is a Chiropractor in Lake Orion, Michigan. Jeffery A Clark, Dc, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffery A Clark, Dc, Pc is 1639285174. The last update date is 2011-12-21.
Jeffery A Clark, Dc, Pc's current location address is 2991 S Baldwin Rd, Lake Orion, Michigan. You can contact this provider via phone number 2483914600 and fax number 2483911910. The mailing address for Jeffery A Clark, Dc, Pc is 2991 S Baldwin Rd, Lake Orion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffery A Clark, Dc, Pc |
|---|---|
| Address | 2991 S Baldwin Rd, Lake Orion, Michigan |
| Phone Number | 2483914600 |
| Fax Number | 2483911910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Allen Jeffery |
| Credentials | DC |
| Telephone Number | 2483914600 |
NPI Number Detail
| NPI Number | 1639285174 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 2991 S Baldwin Rd |
|---|---|
| City | Lake Orion |
| State | Michigan (MI) |
| Post Code | 483601665 |
| Phone Number | 2483914600 |
| Fax Number | 2483911910 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301006916 |
|
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 |
|---|---|---|---|
| 143126777 | MI | -- | |
| BLUE CROSS | MI | BLUE CROSS MICHIGAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffery A Clark, Dc, Pc by the Centers for Medicare & Medicaid Services?
The Jeffery A Clark, Dc, Pc has been issued the NPI (National Provider Identifier) 1639285174, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeffery A Clark, Dc, Pc located?
The Jeffery A Clark, Dc, Pc is located at 2991 S Baldwin Rd, Lake Orion, MI 483601665.
What is Jeffery A Clark, Dc, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffery A Clark, Dc, Pc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639285174 to Jeffery A Clark, Dc, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1639285174 to Jeffery A Clark, Dc, Pc on 2006-08-21.
As of what date was the information pertaining to Jeffery A Clark, Dc, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffery A Clark, Dc, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-21.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA