National Provider Identifier Database

CLARK FAMILY CHIROPRACTIC INC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CLARK FAMILY CHIROPRACTIC, INC.

NPI Number 1477783769
Legal business name
LBN
CLARK FAMILY CHIROPRACTIC, INC.
Authorized official AMIE CLARK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/21/2009
Last updated 07/21/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 4742
  • KY Medicaid: 85003341
  • KY Other: 000000477912 ANTHEM

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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