Individual
DR. STEPHEN NED CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9100 SILVERDALE WAY, CLARK CHIROPRACTIC NECK & BACK, SILVERDALE, WA 98383-8389
(360) 692-1178
(360) 692-1210
Mailing address
9100 SILVERDALE WAY, CLARK CHIROPRACTIC NECK & BACK, SILVERDALE, WA 98383-8389
(360) 692-1178
(360) 692-1210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687
LIC#
WA
01
—
184303
L&I PR#
WA
01
—
242426900
OWCP
WA
01
—
5370CL
REG BS
WA
01
—
54222
1ST CHOICE
WA
01
—
600 459882
UBI
WA
Enumeration date
06/30/2006
Last updated
01/05/2012
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