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Contact Information

STACEY A CLARK, D.C.
11 HILL ST
LYNDONVILLE, VT05851-8911
 Phone: 802-626-5866
 Fax: 802-626-0980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for STACEY A CLARK · (Female)

NPI # 1699891580
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 006-0001158
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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