Active NPIIndividual providerSole proprietor

Caiius Clark, LAC

Acupuncturist in Hanover, New Hampshire

NPI Number1104667740
Practice location
68 Lyme RD, Hanover, NH 03755-1212
Fax
—
Last updated
June 6, 2024

Caiius Clark is an Acupuncturist based in Hanover, NH. Caiius Clark practices in Hanover, NH and has the professional credentials of LAC. The NPI Number for Caiius Clark is 1104667740 and holds a License No. 356 (NH). The current practice location address for Caiius Clark is 68 Lyme RD, Hanover, NH 03755-1212 and can be reached out via phone at 802-356-0171.

Provider Profile Details

NPI Number
1104667740
Provider Name
Caiius Clark
Credential
LAC
Provider Entity Type
Individual
Address
68 Lyme RD, Hanover, NH 03755-1212
Phone Number
802-356-0171
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2024
Last Update Date
June 6, 2024
Certification Date
June 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
68 Lyme RD
Hanover, NH 03755-1212
Zip
03755-1212
Phone Number
802-356-0171
Hanover, NH 03755Get directions →

Provider Business Mailing Address Details

Address
6317 Broad Brook RD
South Royalton, VT 05068-9774
City
South Royalton
State
VT
Zip
05068-9774
Phone Number
802-356-0171

License Information

License Number (1)
356
License State (1)
NH
Taxonomy (1)
Acupuncturist · 171100000X · Primary
License Number (2)
091.0134095
License State (2)
VT
Taxonomy (2)
Acupuncturist · 171100000X

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 Caiius Clark, LAC?

The NPI number of Caiius Clark, LAC is 1104667740. It was assigned on June 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Caiius Clark, LAC?

Caiius Clark, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NH under license number 356.

Where does Caiius Clark, LAC practice?

The practice location is 68 Lyme RD, Hanover, NH 03755-1212. The office can be reached at 802-356-0171 (phone).

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 1104667740 directly on the NPPES registry website.

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