Dale Eugene Clark in Eatonville - Chiropractor
Dale Eugene Clark - NPI 1386787398
Dale Eugene Clark is a Chiropractor in Eatonville, Washington. Dale Eugene Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dale Eugene Clark is 1386787398. The last update date is 2007-07-08.
Dale Eugene Clark's current location address is Po Box 546, Eatonville, Washington. You can contact this provider via phone number 3608326200. The mailing address for Dale Eugene Clark is Po Box 546, Eatonville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Eugene Clark |
|---|---|
| Address | Po Box 546, Eatonville, Washington |
| Phone Number | 3608326200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1386787398 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 546 |
|---|---|
| City | Eatonville |
| State | Washington (WA) |
| Post Code | 983280546 |
| Phone Number | 3608326200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00001250 |
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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 |
|---|---|---|---|
| 2103109 | WA | DSHS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dale Eugene Clark by the Centers for Medicare & Medicaid Services?
The Dale Eugene Clark has been assigned the NPI (National Provider Identifier) 1386787398 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dale Eugene Clark is physically located?
The Dale Eugene Clark is situated at the following address: Po Box 546, Eatonville, WA 983280546.
What is the Dale Eugene Clark's specialty and taxonomy code?
The Dale Eugene Clark's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Dale Eugene Clark receive its 1386787398 assignment from the Centers for Medicare & Medicaid Services?
The Dale Eugene Clark was assigned its 1386787398 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information pertaining to Dale Eugene Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Eugene Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.