Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK J CLARK, D.C.
Active Sole ProprietorDR. JACK J CLARK, D.C. is a Chiropractor healthcare provider located in FORT WAYNE, Indiana. NPI 1902881014 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · FORT WAYNE, IN
Registration Details
- NPI Number
- 1902881014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.628445090168 yrs)
- Last Updated
- Jun 22, 2010
- License
-
08000717A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6015 E STATE BLVDFORT WAYNE, IN, 468157638Browse IN providers · Browse ZIP 46815
- Phone
- 2604861886
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES MONROE COX II | D.C.,L.AC. | 1487659389 |
| TERRY W WEIMER | D.C. | 1972599256 |
| DR. RICHARD B BULL | D.C. | 1871589945 |
| DR. CHARLES E RUCKEL | DC | 1437147360 |
| DR. JAMES S RUCKEL | DC | 1871582783 |
| DR. TIMOTHY A SWIHART | DC | 1497723340 |
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.