Individual provider · Type 1 NPI
Jacob Scott Clark, DC
Chiropractor · Lafayette, LA
NPI number
1003864620
Active
Practice location
854C Kaliste Saloom Rd
Lafayette, LA 70508-4210
Fax (337) 232-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1322 (LA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1003864620
Jacob Scott Clark, DC's National Provider Identifier is 1003864620, issued on May 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lafayette, LA. The record was last updated on May 2, 2008.