Clark, Ross Myracle

Clark, Ross Myracle is an sole proprietor health care provider with primary practice located at 1307 W Reelfoot Ave , Union City TN 38261-5505. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Ross Myracle can be contacted via phone (731) 885-0461.

Contact Information

Primary practice address
1307 W Reelfoot Ave Union City TN 38261-5505
Phone: (731) 885-0461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X D.C. 2356 Tennessee

Profile Details

NPI number 1700017571
LBN Legal business name Clark, Ross Myracle
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2009
Last updated Aug 5th, 2011 - about 15 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 1700017571 NPPES
Tennessee Other 1093022600 GROUP NPI NUMBER

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