Dr Dale Eugene Clark, DC is a
Chiropractor based in Eatonville, Washington. Dr Dale Eugene Clark is licensed to practice in Washington (license number CH00001250) and his current practice location is
109 Rainier Ave So Ste C, Eatonville, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 832-6200.
NPI number for Dr Dale Eugene Clark is 1386787398 and his current mailing address is Po Box 546, 109 Rainier Ave So, Ste C, Eatonville, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386787398.
Healthcare Provider's Profile
| Full Name | Dr Dale Eugene Clark |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 109 Rainier Ave So Ste C, Eatonville, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386787398
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Dale Eugene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386787398 | NPI | - | NPPES |
| 2103109 | Other | WA | DSHS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH00001250 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Eugene Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dale Eugene Clark, DC
Po Box 546, 109 Rainier Ave So, Ste C,
Eatonville, WA 98328-0546
Ph: (360) 832-6200 | Dr Dale Eugene Clark, DC
109 Rainier Ave So Ste C,
Eatonville, WA 98328-0546
Ph: (360) 832-6200 |
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