Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CLARK CHIROPRACTIC INC.
Active
Organization
CLARK CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J CLARK D.C. (OWNER)
(617) 479-2400
Entity
Organization
Contact information
Practice address
69 WILLARD ST, QUINCY, MA 02169-1228
(617) 479-2400
Mailing address
69 WILLARD ST, QUINCY, MA 02169-1228
(617) 479-2400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039113
NHP GROUP #
MA
01
—
648938
TUFTS GROUP #
MA
01
—
Y40011
BCBS GROUP
MA
Enumeration date
04/05/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers