Mr. John Gregory Clark
Chiropractor Orthopedic Specialist
7461 N 1st St Ste 103
Fresno
, California 93720-2850
Mr. John Gregory Clark
Chiropractor Orthopedic Specialist
7461 N 1st St Ste 103
Fresno
, California 93720-2850
(559) 226-3963
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Mr. John Gregory Clark
- 4678 N 1st St
- Fresno, CA
- Zip : 93726-0903
- Fax : (559) 226-3963
- Phone : (559) 226-3400
Second Address
- Mr. John Gregory Clark
- 7461 N 1st St Ste 103
- Fresno, CA
- Zip : 93720-2850
- Fax : (559) 226-3963
- Phone : (559) 226-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 17061 | CA |
National Provider Identifier
| NPI | 1386731677 |
|---|---|
| Provider Name | Mr. John Gregory Clark |
| First Address | Fresno, CA 93726-0903 |
| Second Address | Fresno, CA 93720-2850 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 25/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC0170610 | (02) | CA |
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.