Jack J. Clark, D.c.p.c.
Jack J. Clark, D.c.p.c. is a Chiropractor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
6015 E State BlvdFort Wayne, IN 46815-7638
Phone: (260) 486-1886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chiropractor (primary) | Taxonomy 111N00000X · Licence 08000717A (IN) |
|---|---|
| Rehabilitation Chiropractor | Taxonomy 111NR0400X · Licence 08002245A (IN) |
Record details
| NPI number | 1083820302 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Valerie Badiac — Office Manager · (260) 486-1886 |
| NPI enumerated | May 15, 2007 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 6015 E State Blvd, Fort Wayne, IN 46815-7638 |
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