Individual
DR. JEFFREY N CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10011 MAPLE ST, OMAHA, NE 68134-5552
(402) 393-0566
(402) 393-6261
Mailing address
10011 MAPLE ST, OMAHA, NE 68134-5552
(402) 393-0566
(402) 393-6261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
729
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470733363-13
—
NE
Enumeration date
08/30/2006
Last updated
09/04/2019
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