Dr. Jack J Clark

D.C. | Chiropractor | 44+ years Exp


  
6015 E State Blvd, Fort Wayne
Indiana, 46815-7638

 260-486-1886   Maps & Directions
Dr. Jack J Clark is a Fort Wayne, Indiana based male chiropractor with 44 years of experience in General Chiropractor. He completed his graduation from Western States College Of Chiropractic in 1980. 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. Jack J Clark as General Chiropractor is 08000717A in Indiana.
Dr. Jack J Clark 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. Jack J Clark 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: 44+ years
Medical School Attended:Western States College Of Chiropractic
Graduation Year:1980
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:6015 E State Blvd, Fort Wayne,
Indiana, 46815-7638
Phone:260-486-1886
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: 4183806193
Enrollment ID: I20110314000056
NPI Number: 1902881014
NPI Enumeration Date: 12 Dec, 2005
NPI Last Update On: 22 Jun, 2010

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. Jack J Clark are as mentioned below.
License NumberSpecializationStateStatus
08000717AChiropractor IndianaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack J Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100289660AMedicaidIndiana
000000086699OtherIndianaBLUE CROSS/BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 6015 E State Blvd,
Fort Wayne, Indiana
Zip: 46815-7638
Phone Number: 260-486-1886
Fax Number: --
Patients can reach Dr. Jack J Clark at 6015 E State Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-486-1886. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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