National Provider Identifier Database

TRACI D CLARK, DC – NPI #1073548996
Chiropractor

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.


Contact Information

TRACI D CLARK, DC
224 N FAIRVIEW ROAD
ROCKY MOUNT, NC27801
Phone: 252-446-7246
Fax: 252-446-5407
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for TRACI D CLARK

NPI Number 1073548996
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/11/2006
Last updated 08/14/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 2876
  • NC Medicaid: 89085PH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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