| Clark Chiropractic Inc. | |
|
69 Willard St, Quincy, MA 02169-1228 | |
| (617) 479-2400 | |
| Not Available |
| Full Name | Clark Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 69 Willard St, Quincy, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851413298 | NPI | - | NPPES |
| Y40011 | Other | MA | BCBS GROUP |
| 648938 | Other | MA | TUFTS GROUP # |
| 0039113 | Other | MA | NHP GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2111 (Massachusetts) | Primary |
| Provider Name | Robert J Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982781258 PECOS PAC ID: 2567472392 Enrollment ID: I20060425000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Chiropractic Inc. 69 Willard St, Quincy, MA 02169-1228 Ph: (617) 479-2400 | Clark Chiropractic Inc. 69 Willard St, Quincy, MA 02169-1228 Ph: (617) 479-2400 |
North Quincy Chiropractic Services Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 Hancock St, Suite 1, Quincy, MA 02171 Phone: 617-471-7777 Fax: 617-471-8377 | |
David Smith, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Willard St, Suite 2a, Quincy, MA 02169 Phone: 617-471-4491 | |
Dr. Timothy J Kistler, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Willard St Ste 2a, Quincy, MA 02169 Phone: 617-804-7464 Fax: 617-471-1114 | |
Dr. Kristen L. Staula, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 250 Copeland St, Quincy, MA 02169 Phone: 617-328-0839 Fax: 617-328-8885 | |
Ashleigh Berg, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Willard St Ste 2a, Quincy, MA 02169 Phone: 617-471-4491 Fax: 617-471-1114 | |
Jennyfer Franca, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Willard St Ste 2a, Quincy, MA 02169 Phone: 617-471-4491 | |
Dr. Jay A Provenzano, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 25 School St, Suite B-2, Quincy, MA 02169 Phone: 617-689-0440 Fax: 617-689-0420 |