Jeffery A Clark, Dc, Pc

LBN: Jeffery A Clark, Dc, Pc
Jeffery A Clark, Dc, Pc is an health care organization with primary practice located at 2991 S Baldwin Rd , Lake Orion MI 48360-1665. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Jeffery A Clark, Dc, Pc can be contacted via phone (248) 391-4600, or through Clark, Jeffery Allen via phone (248) 391-4600.

Contact Information

Primary practice address
2991 S Baldwin Rd Lake Orion MI 48360-1665
Phone: (248) 391-4600
Fax: (248) 391-1910
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jeffery Allen Doctor of Chiropractic (DC)
Phone: (248) 391-4600

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006916 Michigan

Profile Details

NPI number 1639285174
LBN Legal business name Jeffery A Clark, Dc, Pc
DBA Doing business as
Authorized official Clark, Jeffery Allen Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639285174 NPPES
Michigan MEDICAID 143126777
Michigan Other BLUE CROSS

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