Clark, Robert T

Clark, Robert T is an individual health care provider with primary practice located at 2411 Us Highway 27 S , Sebring FL 33870-4943. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Robert T can be contacted via phone (863) 382-9632.

Contact Information

Primary practice address
2411 Us Highway 27 S Sebring FL 33870-4943
Phone: (863) 382-9632
Fax: (863) 382-9632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7378 Florida

Profile Details

NPI number 1376778746
LBN Legal business name Clark, Robert T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated Sep 18th, 2009 - about 15 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 1376778746 NPPES
Florida MEDICAID 3814891-00
Florida Other 55739

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