Dr. Karson Ellsworth Clark Jr. is a Lyndonville, Vermont based male chiropractor with 20 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - West Sunnyvale in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Karson Ellsworth Clark Jr. as General Chiropractor is 006-0001143 in Vermont. Dr. Karson Ellsworth Clark Jr. is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Karson Ellsworth Clark Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
20+ years
Medical School Attended:
Palmer College Chiropractic - West Sunnyvale
Graduation Year:
2004
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
11 Hill St, Lyndonville, Vermont, 05851-8911
Phone:
802-626-5866
Fax:
802-626-0980
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698737252
Enrollment ID:
I20041027000568
NPI Number:
1942326822
NPI Enumeration Date:
22 Mar, 2007
NPI Last Update On:
26 Jan, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Karson Ellsworth Clark Jr. are as mentioned below.
License Number
Specialization
State
Status
006-0001143
Chiropractor
Vermont
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Karson Ellsworth Clark Jr. is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lyndonville Family Chiropractic, Inc. (8224090881)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Karson Ellsworth Clark Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
75-3165676
Other
Vermont
TAX IDENTIFICATION NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11 Hill St, Lyndonville, Vermont
Zip:
05851-8911
Phone Number:
802-626-5866
Fax Number:
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Patients can reach Dr. Karson Ellsworth Clark Jr. at 11 Hill St, Lyndonville, Vermont or can call to book an appointment on 802-626-5866. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.