Clyde Blackwelder, D.C

NPI 1992880199 · on the registry since 2006 · sole proprietor

Practice

Address: 24721 La Plz
Dana Point, CA 92629
Phone: (949) 240-2546
Fax: (949) 240-3804
Organisation at this address: Jeffrey R Kindseth Dds Apc
Blackwelder Chiropractic, Inc.
Lucich Chiropractic A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 California