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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK J. CLARK, D.C.P.C.

Active Organization

JACK J. CLARK, D.C.P.C. is a Chiropractor organization located in FORT WAYNE, Indiana. NPI 1083820302 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · FORT WAYNE, IN

Registration Details

NPI Number
1083820302
Provider Type
Organization
NPI Issued
May 15, 2007 (19.253800346274 yrs)
Last Updated
Jun 27, 2008
Licenses
08002245A (IN)
08000717A (IN)

Practice Information

Address
6015 E STATE BLVD
FORT WAYNE, IN, 468157638
Browse IN providers · Browse ZIP 46815
Phone
2604861886
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.