Individual
DR. WILLIAM F CLARK
Active
Individual
DR. WILLIAM F CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
001321
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001321CT02
ANTHEM BLUE CROSS BLUE SHIELD
—
01
—
132100
CONNECTICARE
—
01
—
1397991
AIG
—
01
—
44-04334
UNITED HEALTHCARE
—
01
—
611244
ACN AMERICAN CHIROPRACTIC NETWORK
—
01
—
7139035
AETNA
—
01
—
905871CONN
PHCS PRIVATE HEALTHCARE SYSTEMS
—
01
—
P2773574
OXFORD
—
01
—
U75980
WEBSTER
—
Enumeration date
10/17/2006
Last updated
02/01/2012
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