Dr Nicholas Clark, DPT is a
Physical Therapist based in Knightsville, Indiana. Dr Nicholas Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
954 E Knight St, Knightsville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 223-2172.
NPI number for Dr Nicholas Clark is 1295402659 and his current mailing address is Po Box 46, Knightsville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295402659.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Clark |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 954 E Knight St, Knightsville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295402659
- Provider Enumeration Date: 08/24/2021
- Last Update Date: 08/24/2021
Medical Identifiers
Medical identifiers for Dr Nicholas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295402659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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 Nicholas 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 Nicholas Clark, DPT
Po Box 46,
Knightsville, IN 47857-0046
Ph: () - | Dr Nicholas Clark, DPT
954 E Knight St,
Knightsville, IN 47857-8023
Ph: (812) 223-2172 |
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