Organization
JACK J. CLARK, D.C.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE BADIAC (OFFICE MANAGER)
(260) 486-1886
Entity
Organization
Contact information
Practice address
6015 E STATE BLVD, FORT WAYNE, IN 46815-7638
(260) 486-1886
Mailing address
6015 E STATE BLVD, FORT WAYNE, IN 46815-7638
(260) 486-1886
(260) 485-3958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000717A
IN
111NR0400X
Rehabilitation Chiropractor
08002245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289660A
—
IN
Enumeration date
05/15/2007
Last updated
06/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us