Doctor Name: | DR. RICHARD C CLARKE |
NPI Number: | 1003159237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH 10888 |
Business Practice Address: | 1019 Harvin Way Suite 100 Rockledge, FL - 329553286 |
Business Phone Number: | 3218480987 |
Business Fax Number: | |
Mailing Address: | 806 Mystic Dr # D207, CAPE CANAVERAL |
State: | FL |
Postal Code: | 329205329 |
Phone Number: | 8503229551 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2013 |
NPI Last Update Date: | 07/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 10888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |