Peter Douglas Clark in Concord - Chiropractor
Peter Douglas Clark - NPI 1528151164
Peter Douglas Clark is a Chiropractor in Concord, North Carolina. Peter Douglas Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peter Douglas Clark is 1528151164. The last update date is 2007-07-08.
Peter Douglas Clark's current location address is 3630 Popular Tent Rd, Concord, North Carolina. You can contact this provider via phone number 7047922700 and fax number 7047922705. The mailing address for Peter Douglas Clark is 3630 Popular Tent Rd, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Douglas Clark |
|---|---|
| Address | 3630 Popular Tent Rd, Concord, North Carolina |
| Phone Number | 7047922700 |
| Fax Number | 7047922705 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1528151164 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3630 Popular Tent Rd |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 28027 |
| Phone Number | 7047922700 |
| Fax Number | 7047922705 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2391 |
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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 |
|---|---|---|---|
| 890825N | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peter Douglas Clark?
The Peter Douglas Clark has been issued the NPI (National Provider Identifier) 1528151164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Peter Douglas Clark is geographically located?
The Peter Douglas Clark is physically situated at the following location: 3630 Popular Tent Rd, Concord, NC, 28027.
What is Peter Douglas Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter Douglas Clark's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Peter Douglas Clark receive its 1528151164 assignment?
The Peter Douglas Clark was assigned its 1528151164 on 2006-10-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Peter Douglas Clark most recently updated or revised?
The details related to Peter Douglas Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.