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Contact Information

CLARK FAMILY CHIROPRACTIC, INC.
351 PASCOE BLVD.
STE 106
BOWLING GREEN, KY42104
 Phone: 270-843-1930
 Fax: 860-530-9599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CLARK FAMILY CHIROPRACTIC INC · (Female)

NPI Number 1477783769
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2009
Last updated 07/21/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 4742
  • KY Medicaid 85003341
  • KY Other 000000477912 ANTHEM
Hospital affiliation(s) Not Available
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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