PORTER & CLARK CHIROPRACTIC PLLC NPI 1316009756

NPI Information

NPI: 1316009756
Provider Name: PORTER & CLARK CHIROPRACTIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
29100 GATEWAY BLVD
STE 100
FLAT ROCK, MI
ZIP 48134
Phone: (734) 379-9200
Get Directions

PORTER & CLARK CHIROPRACTIC PLLC is a chiropractor in Flat Rock, MI. The provider is 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. PORTER & CLARK CHIROPRACTIC PLLC NPI is 1316009756. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29100 GATEWAY BLVD
STE 100
FLAT ROCK, MI
ZIP 48134-764
Phone: (734) 379-9200
Fax: (734) 379-9229

The provider's authorized official is Thomas A Clark .
The authorized official title is Partner and has the following contact phone number (734) 379-9200.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 4/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	111N00000X	Chiropractor	TC005814	MICHIGAN	No
2	111N00000X	Chiropractor	JF008106	MICHIGAN	No
3	111N00000X	Chiropractor	MP004985	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	950H220980	OTHER	MICHIGAN	BLUE CROSS
2	ON57460	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »