National Provider Identifier Database

MACI S CLARK
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

MACI S CLARK
17273 STATE ROUTE 104
CHILLICOTHE, OH45601-9718
Phone: 740-773-1141
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for MACI S CLARK

NPI Number 1871463752
Credentials
Entity Individual
Enumeration date 11/06/2025
Last updated 11/06/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • OH License #: 1095890
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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