Petersen, Clark Allen

Petersen, Clark Allen is an sole proprietor health care provider with primary practice located at 1419 Westport Landing Place Suite 109 , Manhattan KS 66502. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petersen, Clark Allen can be contacted via phone (785) 776-5778.

Contact Information

Primary practice address
1419 Westport Landing Place Suite 109 Manhattan KS 66502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 01-03705 Kansas

Profile Details

NPI number 1285600809
LBN Legal business name Petersen, Clark Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated May 4th, 2010 - about 16 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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