Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY R CLARK, D.C.
ActiveDR. JEREMY R CLARK, D.C. is a Chiropractor healthcare provider located in VANDALIA, Illinois. NPI 1710018395 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · VANDALIA, IL
Registration Details
- NPI Number
- 1710018395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2007 (19.436170153462 yrs)
- Last Updated
- Jun 3, 2011
- License
-
IL038-009768 (IL)
Practice Information
- Address
-
100 N KENNEDY BLVDVANDALIA, IL, 624712314Browse IL providers · Browse ZIP 62471
- Phone
- 6185311141
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in VANDALIA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW EARL LABERTEW | DC | 1699702589 |
| DR. JOSEPH J SOLAN | D.C. | 1720091150 |
| JEDIDIAH COX | DC | 1104922319 |
| DR. HEATHER KAY FOLEY | D.C. | 1942307988 |
| DR. CHAD E STORCK | D.C. | 1730326711 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.