Dr. Jacob Scott Clark
Chiropractor
854c Kaliste Saloom Rd
Lafayette
, Louisiana 70508-4210
Dr. Jacob Scott Clark
Chiropractor
854c Kaliste Saloom Rd
Lafayette
, Louisiana 70508-4210
(337) 232-9304
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jacob Scott Clark
- 854c Kaliste Saloom Rd
- Lafayette, LA
- Zip : 70508-4210
- Fax : (337) 232-9304
- Phone : (337) 232-3353
Second Address
- Dr. Jacob Scott Clark
- 854c Kaliste Saloom Rd
- Lafayette, LA
- Zip : 70508-4210
- Fax : (337) 232-9304
- Phone : (337) 232-3353
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1322 | LA |
National Provider Identifier
| NPI | 1003864620 |
|---|---|
| Provider Name | Dr. Jacob Scott Clark |
| First Address | Lafayette, LA 70508-4210 |
| Second Address | Lafayette, LA 70508-4210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 02/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U97711 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.