Clarke, David Michael
Clarke, David Michael is an individual health care provider with primary practice located at 1675 N Maple Grove Rd , Boise ID 83704-6925. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clarke, David Michael can be contacted via phone (208) 376-4940.Contact Information
Primary practice address
1675 N Maple Grove Rd
Boise ID 83704-6925
Phone: (208) 376-4940
Fax: (208) 376-6812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | C378 | Idaho |
Profile Details
| NPI number | 1336138817 |
|---|---|
| LBN Legal business name | Clarke, David Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336138817 | NPPES |
| Idaho | Other | 000010151977 | BLUE SHIELD |
| Idaho | Other | C3787 | BLUE SHIELD |
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