Clyde Spencer Blackwelder, D.C.

Chiropractor · Dana Point, CA

Individual Active NPI

NPI number 1992880199

Practice location

24721 La PLZ
Dana Point, CA 92629-2509
Phone
(949) 240-2546
Fax
(949) 240-3804

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NPI record

NPI
1992880199
Entity type
Individual (Type 1)
Enumeration date
October 26, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC23746 CA

Mailing address

25762 Via Del Rey
San Juan Capistrano, CA 92675-4444
Phone
(949) 240-0483

About Dr. Blackwelder

Clyde Spencer Blackwelder, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 24721 La PLZ, Dana Point, CA 92629-2509. The NPI number 1992880199 was assigned on October 26, 2006 and the record was last updated on July 8, 2007.

Dr. Blackwelder lists a license in the registry: #DC23746 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clyde Spencer Blackwelder, D.C.?

The NPI number is 1992880199.

What is the phone number of Dr. Blackwelder?

The phone number listed for the practice location is (949) 240-2546.

Where is Dr. Blackwelder located?

24721 La PLZ, Dana Point, CA 92629-2509.

What is the taxonomy code for Dr. Blackwelder?

The primary taxonomy code is 111N00000X – Chiropractor.

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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