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Dr. Ronald Frederick Clark
Chiropractor in West Hartford, Connecticut
NPI 1588762801

Ronald Frederick Clark is a Chiropractor based in West Hartford, CT. Ronald Frederick Clark practices in West Hartford, CT. The NPI Number for Ronald Frederick Clark is 1588762801 and holds a License No. 000210 (Connecticut).

The current practice location address for Ronald Frederick Clark is 5 Newington Road, West Hartford, CT and can be reached out via phone at 860-236-3364 and via fax at 860-236-3364.

Location: 5 Newington Road, West Hartford, CT, 06110-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588762801
Provider Name
Ronald Frederick Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 Newington Road, West Hartford, CT, 06110-2310
Phone Number
860-236-3364
Fax Number
860-236-3364
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04046611 05 CT
050000210CT01 01 CT BCBS
institution
Provider Business Practice Location Address Details
Address
5 Newington Road
City
West Hartford
State
Connecticut
Zip
06110-2310
Phone Number
860-236-3364
Fax Number
860-236-3364
person
Provider Business Mailing Address Details
Address
5 Newington Road
City
West Hartford
State
Connecticut
Zip
06110-2310
Phone Number
860-236-3364
Fax Number
860-236-3364
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
000210 (Connecticut)
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.
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