Individual
DR. WILLIAM F CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
154 WEST ST, SUITE E, CROMWELL, CT 06416-4400
(860) 632-1668
(860) 632-1672
Mailing address
154 WEST ST, SUITE E, CROMWELL, CT 06416-4400
(860) 632-1668
(860) 632-1672
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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