Active NPIIndividual providerSole proprietor

Mr. Bryn Clark, LAC, DIPLOM

Acupuncturist in Beverly, Massachusetts

NPI Number1023214707
Practice location
7 Thorndike St, Beverly, MA 01915-5817
Fax
978-922-3086
Last updated
October 14, 2016

Bryn Clark is an Acupuncturist based in Beverly, MA. Bryn Clark practices in Beverly, MA and has the professional credentials of LAC, DIPLOM. The NPI Number for Bryn Clark is 1023214707 and holds a License No. 213805 (MA). The current practice location address for Bryn Clark is 7 Thorndike St, Beverly, MA 01915-5817 and can be reached out via phone at 978-922-3030 and via fax at 978-922-3086.

Provider Profile Details

NPI Number
1023214707
Provider Name
Bryn Clark
Credential
LAC, DIPLOM
Provider Entity Type
Individual
Gender
Male
Address
7 Thorndike St, Beverly, MA 01915-5817
Phone Number
978-922-3030
Fax Number
978-922-3086
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Other Names
-- Bryn Clark, LAC (Professional Name)
Provider Enumeration Date
June 21, 2007
Last Update Date
October 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Thorndike St
Beverly, MA 01915-5817
Zip
01915-5817
Phone Number
978-922-3030
Fax Number
978-922-3086
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
7 Thorndike St
Beverly, MA 01915-5817
City
Beverly
State
MA
Zip
01915-5817
Phone Number
978-922-3030
Fax Number
978-922-3086

License Information

License Number
213805
License State
MA
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Bryn Clark, LAC, DIPLOM?

The NPI number of Mr. Bryn Clark, LAC, DIPLOM is 1023214707. It was assigned on June 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Bryn Clark, LAC, DIPLOM?

Mr. Bryn Clark, LAC, DIPLOM is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 213805.

Where does Mr. Bryn Clark, LAC, DIPLOM practice?

The practice location is 7 Thorndike St, Beverly, MA 01915-5817. The office can be reached at 978-922-3030 (phone) or 978-922-3086 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023214707 directly on the NPPES registry website.

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