Clark, Jeffrey Paul

Clark, Jeffrey Paul is an individual health care provider with primary practice located at 9633 Market Place Suite #103, Lake Stevens WA 98258. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Jeffrey Paul can be contacted via phone (425) 335-0300.

Contact Information

Primary practice address
9633 Market Place Suite #103 Lake Stevens WA 98258
Phone: (425) 335-0300
Fax: (425) 335-0302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00002638 Washington

Profile Details

NPI number 1366417487
LBN Legal business name Clark, Jeffrey Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 6th, 2017 - about 8 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 1366417487 NPPES
Washington Other 350052980 RAILROAD MEDICARE
Washington Other 43630 RAILROAD MEDICARE

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