Jack J. Clark, D.c.p.c.

  • 1083820302 NPI Number
  • |
  • Actived: 17 years ago
  • |
Jack J. Clark, D.c.p.c. is a health care provider based in Fort Wayne, IN. The NPI Number is 1083820302 and it has been active since 17 years ago. The specialty is Rehabilitation, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Rehabilitation services, Jack J. Clark, D.c.p.c. is an excellent option. We are here to help you get the care you need.

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Overview of Jack J. Clark, D.c.p.c.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 05/15/2007
  • Last updated: 06/27/2008

Primary Scrop of Practice

  • Taxonomy Code: 111NR0400X
  • Specialty: Rehabilitation
  • License Number: 08002245A
  • License State: IN

Provider Mailing Address

  • Address: 6015 E State Blvd
    Fort Wayne, IN 46815
  • Phone: 260-486-1886
  • Fax: 260-485-3958

Provider Practice Location

  • Address: 6015 E State Blvd
    Fort Wayne, IN 46815
  • Phone: 260-486-1886
  • Fax:

Authorized Official

  • Name: MRS. Valerie Badiac
  • Position/Title: Office Manager
  • Telephone Number: 260-486-1886

Scope of Practice

  • Taxonomy Code: 111N00000X
  • Specialty: Chiropractor
  • License Number: 08000717A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100289660A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack J. Clark, D.c.p.c.?
  • A: The npi number for Jack J. Clark, D.c.p.c. is 1083820302.
  • Q: What are Jack J. Clark, D.c.p.c.'s specialties?
  • A: Jack J. Clark, D.c.p.c.'s specialties are Rehabilitation and different specialities.
  • Q: Where is Jack J. Clark, D.c.p.c. business practice location?
  • A: Jack J. Clark, D.c.p.c. business practice location is 6015 E State Blvd, Fort Wayne, IN 46815.
  • Q: How to contact Jack J. Clark, D.c.p.c.?
  • A: You can contact Jack J. Clark, D.c.p.c. via 260-486-1886.
  • Q: What is the authorized official for Jack J. Clark, D.c.p.c.?
  • A: The authorized office name is MRS. Valerie Badiac with position/title is Office Manager and you can reach the authorized official via phone number 2604861886.
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