Organization · Type 2 NPI
Jeffery S. Clark, D.c., P.a.
Chiropractor · Portland, ME
NPI number
1568640530
Active
Practice location
47 Portland St
Portland, ME 04101-3188
Fax (866) 265-5910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CR1139 (ME) |
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.
4 other providers at this address
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About NPI 1568640530
Jeffery S. Clark, D.c., P.a.'s National Provider Identifier is 1568640530, issued on Feb 1, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, ME. The record was last updated on Feb 1, 2008.