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Jack Clark, D.C
NPI 1902881014 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6015 E State Blvd
Fort Wayne, IN 46815 - Phone
- (260) 486-1886
- Organisation at this address
- Jack J. Clark, D.C.P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana