Mrs Sandra A Clark, DC | |
6646 W Johnson Rd, La Porte, IN 46350-8243 | |
(866) 932-9630 | |
Not Available |
Full Name | Mrs Sandra A Clark |
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Gender | Female |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 6646 W Johnson Rd, La Porte, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861423527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002710A (Indiana) | Primary |
111NP0017X | Chiropractor - Pediatric Chiropractor | 08002710A (Indiana) | Secondary |
Provider Name | Clarks Family Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841613718 PECOS PAC ID: 5890926828 Enrollment ID: O20140314001950 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra A Clark, DC 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630 | Mrs Sandra A Clark, DC 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630 |
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