Doctor Name: | CLARK RAYMOND ECKERT |
NPI Number: | 1669798450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2431 |
Business Practice Address: | 1062 Oak Ridge Tpke Ste B Oak Ridge, TN - 378306479 |
Business Phone Number: | 8652208499 |
Business Fax Number: | |
Mailing Address: | 1062 Oak Ridge Tpke Ste B, OAK RIDGE |
State: | TN |
Postal Code: | 378306479 |
Phone Number: | 8652208499 |
Fax Number: | 8652723356 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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. |