Christopher Russell Clark in Waynesburg - Chiropractor
Christopher Russell Clark - NPI 1134175474
Christopher Russell Clark is a Chiropractor in Waynesburg, Pennsylvania. Christopher Russell Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Christopher Russell Clark is 1134175474. The last update date is 2007-07-08.
Christopher Russell Clark's current location address is 177 E High St, Waynesburg, Pennsylvania. You can contact this provider via phone number 7248521777 and fax number 7248521777. The mailing address for Christopher Russell Clark is 177 E High St, Waynesburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Russell Clark |
|---|---|
| Address | 177 E High St, Waynesburg, Pennsylvania |
| Phone Number | 7248521777 |
| Fax Number | 7248521777 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1134175474 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 177 E High St |
|---|---|
| City | Waynesburg |
| State | Pennsylvania (PA) |
| Post Code | 153701818 |
| Phone Number | 7248521777 |
| Fax Number | 7248521777 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC007628L |
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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 |
|---|---|---|---|
| 1666127 | PA | GROUP HIGHMARK BCBS | |
| 1010082300001 | PA | -- | |
| 897504 | PA | INDIVIDUAL HIGHMARK BCBS | |
| 1134175474 | PA | INDIVIDUAL NPI NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Christopher Russell Clark by the Centers for Medicare & Medicaid Services?
The Christopher Russell Clark has been issued the NPI (National Provider Identifier) 1134175474. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Christopher Russell Clark's facilities are situated?
The facilities of Christopher Russell Clark are physically located at the following address: 177 E High St, Waynesburg, PA, 153701818.
What is the Christopher Russell Clark's specialty and taxonomy code?
The Christopher Russell Clark's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134175474 to Christopher Russell Clark?
The Centers for Medicare & Medicaid Services originally issued the 1134175474 to Christopher Russell Clark on 2006-05-26.
When was the information regarding Christopher Russell Clark most recently updated?
The details pertaining to the Christopher Russell Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.