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Charles Clark JR.

Chiropractor

16222 N 59th Ave Suite A100
Glendale , Arizona 85306-1705

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Image

Charles Clark JR.

Chiropractor

16222 N 59th Ave Suite A100
Glendale , Arizona 85306-1705

(623) 334-4400

Write a Review Save Call

Charles Clark JR.

Chiropractor

16222 N 59th Ave Suite A100
Glendale , Arizona 85306-1705

(623) 334-4400 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Chiropractor

Languages spoken

  • English

Location

16222 N 59th Ave Suite A100 Glendale , Arizona 85306-1705

First Address

  • Charles Clark JR.
  • 16222 N 59th Ave Suite A100
  • Glendale, AZ
  • Zip : 85306-1705
  • Fax : (623) 334-4400
  • Phone : (623) 334-4000

Second Address

  • Charles Clark JR.
  • 16222 N 59th Ave Suite A100
  • Glendale, AZ
  • Zip : 85306-1705
  • Fax : (623) 334-4400
  • Phone : (623) 334-4000

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FAQs


Where did Charles Clark JR. attend graduate school?

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Where did Charles Clark JR. do his residency?

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Where did Charles Clark JR. do his fellowship?

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Is Charles Clark JR. board certified?

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What type of doctor is Charles Clark JR.

Chiropractor

In what state does Charles Clark JR. practice in?

Arizona

Where is Charles Clark JR.’s practice located?

16222 N 59th Ave Suite A100 , Glendale, Arizona, 85306-1705

What is Charles Clark JR.’s gender?

Male

Is Charles Clark JR. a sole practitioner?

No

Is Charles Clark JR. accepting new patients?

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What languages does Charles Clark JR. speak?

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Does Charles Clark JR. accept insurance?

Yes, Charles Clark JR. accepts insurance

Does Charles Clark JR. offers telemedicine?

Charles Clark JR. has not indicated if he offers telemedicine

What is Charles Clark JR.’s professional license number?

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What is Charles Clark JR.’s NPI number?

1003119272

Does Charles Clark JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111N00000X Chiropractor 7094 AZ

National Provider Identifier

NPI 1003119272
Provider Name Charles Clark JR.
First Address Glendale, AZ 85306-1705
Second Address Glendale, AZ 85306-1705
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/12/2010
Last Update Date 08/02/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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