Michael L Clark is a Chiropractor in Missoula, Montana. Michael L Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael L Clark is 1265530232. The last update date is 2008-02-06.
Michael L Clark's current location address is 3031 S Russell, Missoula, Montana. You can contact this provider via phone number 4067218825 and fax number 4063276702. The mailing address for Michael L Clark is 3031 S Russell, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael L Clark |
---|---|
Address | 3031 S Russell, Missoula, Montana |
Phone Number | 4067218825 |
Fax Number | 4063276702 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1265530232 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
Address | 3031 S Russell |
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City | Missoula |
State | Montana (MT) |
Post Code | 59801 |
Phone Number | 4067218825 |
Fax Number | 4063276702 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 656 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
160706 | MT | -- | |
40161 | MT | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael L Clark by the Centers for Medicare & Medicaid Services?
The Michael L Clark has been issued the NPI (National Provider Identifier) 1265530232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael L Clark?
The Michael L Clark is physically situated at 3031 S Russell, in the city of Missoula, state of MT, with the postal code 59801.
What is Michael L Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael L Clark is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265530232 to Michael L Clark?
The Centers for Medicare & Medicaid Services originally issued the 1265530232 to Michael L Clark on 2006-09-21.
As of what date were the Michael L Clark's details last updated?
The information pertaining to the Michael L Clark, including its address, specialty, and other details, was most recently updated on 2008-02-06.
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