Organization
JEFFERY A CLARK, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY ALLEN CLARK DC (PRESIDENT)
(248) 391-4600
Entity
Organization
Contact information
Practice address
2991 S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-4600
(248) 391-1910
Mailing address
2991 S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-4600
(248) 391-1910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143126777
—
MI
01
—
BLUE CROSS
BLUE CROSS MICHIGAN
MI
Enumeration date
08/21/2006
Last updated
12/21/2011
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