Jeffrey Paul Clark in Lake Stevens - Chiropractor
Jeffrey Paul Clark - NPI 1366417487
Jeffrey Paul Clark is a Chiropractor in Lake Stevens, Washington. Jeffrey Paul Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey Paul Clark is 1366417487. The last update date is 2017-03-06.
Jeffrey Paul Clark's current location address is 9633 Market Place, Lake Stevens, Washington. You can contact this provider via phone number 4253350300 and fax number 4253350302. The mailing address for Jeffrey Paul Clark is 9633 Market Place, Lake Stevens, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Paul Clark |
|---|---|
| Address | 9633 Market Place, Lake Stevens, Washington |
| Phone Number | 4253350300 |
| Fax Number | 4253350302 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1366417487 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2017-03-06 |
Provider Mailing Address Detail
| Address | 9633 Market Place |
|---|---|
| City | Lake Stevens |
| State | Washington (WA) |
| Post Code | 98258 |
| Phone Number | 4253350300 |
| Fax Number | 4253350302 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00002638 |
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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 |
|---|---|---|---|
| 350052980 | WA | RAILROAD MEDICARE | |
| 43630 | WA | WORKERS COMP |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Paul Clark by the Centers for Medicare & Medicaid Services?
The Jeffrey Paul Clark has been issued the NPI (National Provider Identifier) 1366417487. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeffrey Paul Clark is physically located?
The Jeffrey Paul Clark is physically situated at the following address: 9633 Market Place, Lake Stevens, WA, 98258.
What is the Jeffrey Paul Clark's area of specialization and corresponding taxonomy classification?
The Jeffrey Paul Clark's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did the Jeffrey Paul Clark receive its 1366417487?
The Jeffrey Paul Clark was issued its 1366417487 on 2006-02-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jeffrey Paul Clark most recently updated or revised?
The information pertaining to Jeffrey Paul Clark, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-06.