Individual
DR. MICHAEL T CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
23 CHARLES ST, ROCHESTER, NH 03867-2926
(603) 332-8989
(603) 332-8989
Mailing address
23 CHARLES ST, ROCHESTER, NH 03867-2926
(603) 332-8989
(603) 332-8989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11809510184A
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508438Y0NH01
ANTHEM
NH
01
—
19394
MATTHEW THORNTON HEALTH P
NH
05
—
30001768
—
NH
01
—
3228
CIGNA
NH
01
—
453731
AETNA
NH
01
—
63665
GREAT WEST NA
—
01
—
7802 OUT OF STATE
ANTHEM NJ
NJ
01
—
80705
GREAT WEST HC
NH
01
—
AA44982
HPHC
NH
Enumeration date
04/11/2006
Last updated
01/29/2016
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