CLARK CHIROPRACTIC L.L.C. NPI 1588799563

NPI Information

  • NPI: 1588799563
  • Provider Name: CLARK CHIROPRACTIC, L.L.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 854 KALISTE SALOOM RD STE C
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 232-3353

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NPI Details

CLARK CHIROPRACTIC, L.L.C. is a chiropractor in Lafayette, LA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CLARK CHIROPRACTIC, L.L.C. NPI is 1588799563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

854 KALISTE SALOOM RD STE C
LAFAYETTE, LA
ZIP 70508-367
Phone: (337) 232-3353
Fax: (337) 232-9304

The provider's authorized official is Jacob Scott Clark .
The authorized official title is Owner and has the following contact phone number (337) 232-3353.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 5/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1322LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14C889CT32MEDICARE PINLOUISIANA
2U97711MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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