Organization
CLARK CHIROPRACTIC CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALVIN CLARK DC (OWNER)
(248) 471-0440
Entity
Organization
Contact information
Practice address
28800 W 8 MILE RD, STE 5858, FARMINGTON HILLS, MI 48336-5906
(248) 471-0440
(248) 471-6270
Mailing address
28800 W 8 MILE RD, STE 5858, FARMINGTON HILLS, MI 48336-5906
(248) 471-0440
(248) 471-6270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F33353
BCBS
MI
Enumeration date
02/18/2013
Last updated
03/01/2013
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