Dr Jeffery Scott Clark, DC is a
Chiropractor based in Lisbon, Maine. Dr Jeffery Scott Clark is licensed to practice in Maine (license number CR1139) and his current practice location is
379 Lisbon St, Lisbon, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 353-7200.
NPI number for Dr Jeffery Scott Clark is 1558416321 and his current mailing address is Po Box 94, Lisbon, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558416321.
Healthcare Provider's Profile
| Full Name | Dr Jeffery Scott Clark |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
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| Location | 379 Lisbon St, Lisbon, Maine |
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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: 1558416321
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 09/09/2013
Medical Identifiers
Medical identifiers for Dr Jeffery Scott Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558416321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | B01389 (Nevada) | Secondary |
| 111N00000X | Chiropractor | CR1139 (Maine) | 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 Jeffery Scott 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 Jeffery Scott Clark, DC
Po Box 94,
Lisbon, ME 04250-0094
Ph: (207) 576-4448 | Dr Jeffery Scott Clark, DC
379 Lisbon St,
Lisbon, ME 04250-6822
Ph: (207) 353-7200 |
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