JEFFERY A CLARK DC PC NPI 1639285174

NPI Information

  • NPI: 1639285174
  • Provider Name: JEFFERY A CLARK, DC, PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2991 S BALDWIN RD
    LAKE ORION, MI
    ZIP 48360
  • Phone: (248) 391-4600

Map and Directions

Get Directions

NPI Details

JEFFERY A CLARK, DC, PC is a chiropractor in Lake Orion, MI. 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. JEFFERY A CLARK, DC, PC NPI is 1639285174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2991 S BALDWIN RD
LAKE ORION, MI
ZIP 48360-665
Phone: (248) 391-4600
Fax: (248) 391-1910

The provider's authorized official is Jeffery Allen Clark .
The authorized official title is President and has the following contact phone number (248) 391-4600.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/21/2011.

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
1111N00000XChiropractor2301006916MICHIGANYes

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
10P34300MEDICARE PINMICHIGAN
2BLUE CROSSOTHERMICHIGANBLUE CROSS MICHIGAN
3143126777MEDICAIDMICHIGAN
4U66492MEDICARE UPIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI