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Provider Profile

Jack J. Clark, D.C.

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At a glance

About Dr. Clark

Jack J. Clark, D.C. is a healthcare provider in Fort Wayne, IN specializing in chiropractic. Jack trained at Western States College of Chiropractic, graduating in 1980. Jack is also listed as specializing in chiropractor. According to Medicare claims data, Jack cared for 33 Medicare patients across 195 services. The services billed most often include chiropractic manipulative treatment, 3-4 spinal regions. This provider record is associated with NPI 1902881014.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Chiropractic (Primary)

Credentials & Licensing

IN licenceAs reported to the NPI registry
No. 08000717AAs reported
NPINational Provider Identifier
1902881014Issued 2005

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jack J. Clark specialize in?

Jack J. Clark is a chiropractic in Fort Wayne, IN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jack J. Clark located?

Jack J. Clark is listed at 6015 E State Blvd, Fort Wayne, IN 46815. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack J. Clark's phone number?

The number on file is (260) 486-1886. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack J. Clark's NPI number?

Jack J. Clark's National Provider Identifier is 1902881014. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack J. Clark train?

Jack J. Clark attended Western States College of Chiropractic, graduating in 1980. This comes from the CMS National Downloadable File.

CMS public data

How long has Jack J. Clark been practicing?

Jack J. Clark has 46 years experience. Calculated from a graduation year of 1980, reported in the CMS National Downloadable File.

CMS public data

What does Jack J. Clark do most often?

According to Medicare billing data, Jack J. Clark provides treatments such as chiropractic manipulative treatment, 3-4 spinal regions. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Jack J. Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack J. Clark. If this is you, claiming it is free.

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