Organization · Type 2 NPI

Jack J. Clark, D.c.p.c.

Chiropractor · Fort Wayne, IN

NPI number 1083820302 Active

Practice location

6015 E State Blvd
Fort Wayne, IN 46815-7638

Call (260) 486-1886 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X08000717A (IN)
Rehabilitation Chiropractor 111NR0400X08002245A (IN)

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 1083820302

Jack J. Clark, D.c.p.c.'s National Provider Identifier is 1083820302, issued on May 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 27, 2008.