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Contact Information

SUSAN L CLARKE, DC
846 LAUREL AVE
SAINT PAUL, MN55104-7110
 Phone: 651-227-8776
 Fax: 651-227-1055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SUSAN L CLARKE · (Female)

NPI Number 1013905371
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/11/2005
Last updated 06/16/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 2143
  • MN Medicaid 777027800
  • MN Other 21316CL BCBS CLINIC #
  • MN Other 0N438CL BCBS INDIVIDUAL PROVIDER
  • MN Other 20705 HEALTHPARTNERS ID
  • MN Other 041101001 METROPOLITAN HEALTH PLAN
  • MN Other 350056171 RRCARE
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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