DR. JACK CLARK, D.C.

Chiropractor

Active Individual
NPI: 1902881014

Practice Address

6015 E STATE BLVD
Fort Wayne, IN 46815

Phone: (260) 486-1886

Specialties

Specialty Code Primary License
Chiropractor 111N00000X Yes 08000717A (IN)

Frequently Asked Questions

NPI 1902881014 is the National Provider Identifier for DR. JACK CLARK, D.C., a Chiropractor provider located in Fort Wayne, IN. This NPI was enumerated on December 12, 2005.
DR. JACK CLARK, D.C. practices at 6015 E STATE BLVD, Fort Wayne, IN 46815.

Quick Facts

NPI
1902881014
Type
Individual
Enumerated
Dec 12, 2005
Last Updated
Jun 22, 2010

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