Sandra A. Clark, D.C.

Chiropractor · La Porte, IN

Individual Active NPI

NPI number 1861423527

Practice location

6646 W Johnson Rd
La Porte, IN 46350-8243
Phone
(866) 932-9630

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NPI record

NPI
1861423527
Entity type
Individual (Type 1)
Enumeration date
July 5, 2006
Last updated
January 13, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 08002710A IN
Pediatric Chiropractor 111NP0017X 08002710A IN

About Dr. Clark

Sandra A. Clark, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 6646 W Johnson Rd, La Porte, IN 46350-8243. The NPI number 1861423527 was assigned on July 5, 2006 and the record was last updated on January 13, 2014.

Dr. Clark lists 2 licenses in the registry: #08002710A (IN) for Chiropractor; #08002710A (IN) for Pediatric Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra A. Clark, D.C.?

The NPI number is 1861423527.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (866) 932-9630.

Where is Dr. Clark located?

6646 W Johnson Rd, La Porte, IN 46350-8243.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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