Clark, Jerry S
Clark, Jerry S is an individual health care provider with primary practice located at 3325 N University Ave Ste 125 , Provo UT 84604-6615. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Jerry S can be contacted via phone (801) 374-2774.Contact Information
Primary practice address
3325 N University Ave Ste 125
Provo UT 84604-6615
Phone: (801) 374-2774
Fax: (801) 374-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 166844-1202 | Utah |
Profile Details
| NPI number | 1114082872 |
|---|---|
| LBN Legal business name | Clark, Jerry S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2006 |
| Last updated | Nov 1st, 2016 - about 10 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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