Clark Chiropractic Inc in Renton - Chiropractor
Clark Chiropractic Inc - NPI 1700904778
Clark Chiropractic Inc is a Chiropractor in Renton, Washington. Clark Chiropractic Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clark Chiropractic Inc is 1700904778. The last update date is 2011-05-13.
Clark Chiropractic Inc's current location address is 17422 108th Ave Se #101, Renton, Washington. You can contact this provider via phone number 4252550427 and fax number 4252551066. The mailing address for Clark Chiropractic Inc is 17422 108th Ave Se #101, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Chiropractic Inc |
|---|---|
| Address | 17422 108th Ave Se #101, Renton, Washington |
| Phone Number | 4252550427 |
| Fax Number | 4252551066 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRAC |
|---|---|
| Authorized Official Name | Clark Jeffrey Theodore |
| Credentials | DC |
| Telephone Number | 4252550427 |
NPI Number Detail
| NPI Number | 1700904778 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2011-05-13 |
Provider Mailing Address Detail
| Address | 17422 108th Ave Se #101 |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980555400 |
| Phone Number | 4252550427 |
| Fax Number | 4252551066 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2219 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clark Chiropractic Inc by the Centers for Medicare & Medicaid Services?
The Clark Chiropractic Inc has been issued the NPI (National Provider Identifier) 1700904778, which 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 Clark Chiropractic Inc is physically located?
The Clark Chiropractic Inc is physically situated at the following address: 17422 108Th Ave Se #101, Renton, WA, 980555400.
What is the Clark Chiropractic Inc's area of specialization and corresponding taxonomy classification?
The Clark Chiropractic Inc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did Clark Chiropractic Inc receive its 1700904778 assignment?
The Clark Chiropractic Inc was assigned its 1700904778 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Clark Chiropractic Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clark Chiropractic Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-13.