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Contact Information

CLACK ASSOCIATES, LLC.
603 LIBERTY PLACE
SICKLERVILLE, NJ08081
 Phone: 856-875-5335
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CLACK ASSOCIATES, LLC.

NPI # 1235771031
LBN Legal business name CLACK ASSOCIATES, LLC.
Authorized official KEVIN LIEBOLD - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2019
Last updated 10/13/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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