Clark, Robert J

Clark, Robert J is an individual health care provider with primary practice located at 69 Willard St , Quincy MA 02169-1228. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Robert J can be contacted via phone (617) 479-2400.

Contact Information

Primary practice address
69 Willard St Quincy MA 02169-1228
Phone: (617) 479-2400
Fax: (617) 479-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2111 Massachusetts

Profile Details

NPI number 1982781258
LBN Legal business name Clark, Robert J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1982781258 NPPES
Massachusetts Other 792893 TUFTS
Massachusetts Other 351264 TUFTS
Massachusetts Other 0022022 TUFTS
Massachusetts Other Y36490 TUFTS

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