Clark, Sandra A

Clark, Sandra A is an sole proprietor health care provider with primary practice located at 6646 W Johnson Rd , La Porte IN 46350-8243. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Pediatric Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Clark, Sandra A can be contacted via phone (866) 932-9630.

Contact Information

Primary practice address
6646 W Johnson Rd La Porte IN 46350-8243
Phone: (866) 932-9630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002710A Indiana
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 08002710A Indiana

Profile Details

NPI number 1861423527
LBN Legal business name Clark, Sandra A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jan 13th, 2014 - about 10 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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