| Organization Name: | PORTER & CLARK CHIROPRACTIC PLLC |
| NPI Number: | 1316009756 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS A CLARK (PARTNER) |
| Mailing Address: | 29100 Gateway Blvd Ste 100 Flat Rock |
| State: | MI US |
| Postal Code: | 481342764 |
| Phone Number: | 7343799200 |
| Fax Number: | 7343799229 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 04/04/2007 |
| NPI Reactivation Date: | 06/05/2007 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | TC005814 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| 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. |