Clark, Donald C

Clark, Donald C is an sole proprietor health care provider with primary practice located at 4660 Slater Rd Ste 140 , Eagan MN 55122-4049. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Neurology is his primary health care specialty. Clark, Donald C can be contacted via phone (651) 454-6367.

Contact Information

Primary practice address
4660 Slater Rd Ste 140 Eagan MN 55122-4049
Phone: (651) 454-6367
Fax: (651) 454-8577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1721 Minnesota
Chiropractic Providers / Neurology 111NN0400X 1721 Minnesota

Profile Details

NPI number 1437278942
LBN Legal business name Clark, Donald C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437278942 NPPES
Minnesota MEDICAID 645527100

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