CLARK CHIROPRACTIC NPI 1316959786

NPI Information

NPI: 1316959786
Provider Name: CLARK CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9100 SILVERDALE WAY NW
SILVERDALE, WA
ZIP 98383
Phone: (360) 692-1178
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CLARK CHIROPRACTIC is a chiropractor in Silverdale, WA. 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. CLARK CHIROPRACTIC NPI is 1316959786. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9100 SILVERDALE WAY NW
SILVERDALE, WA
ZIP 98383-389
Phone: (360) 692-1178

The provider's authorized official is Stephen Ned Clark .
The authorized official title is Owner and has the following contact phone number (360) 692-1178.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/22/2020.

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	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1687	WASHINGTON	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	184303	OTHER	WASHINGTON	L&I PR#
2	5370CL	OTHER	WASHINGTON	REG BS
3	54222	OTHER	WASHINGTON	1ST CHOICE
4	1687	OTHER	WASHINGTON	LIC#

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

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