Clark, Amie C

Clark, Amie C is an individual health care provider with primary practice located at 351 Pascoe Blvd. Suite. 106, Bowling Green KY 42104. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Clark, Amie C can be contacted via phone (270) 843-1930.

Contact Information

Primary practice address
351 Pascoe Blvd. Suite. 106 Bowling Green KY 42104
Phone: (270) 843-1930
Fax: (866) 530-9599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4742 Kentucky

Profile Details

NPI number 1396784476
LBN Legal business name Clark, Amie C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 7th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396784476 NPPES
Kentucky Other 000000477912 ANTHEM
Kentucky MEDICAID 85003341 ANTHEM

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