Active NPIIndividual providerSole proprietor

Dr. Stacey A Clark, DC

Chiropractor in Lyndonville, Vermont

NPI Number1699891580
Practice location
11 Hill St, Lyndonville, VT 05851-8911
Fax
802-626-0980
Last updated
July 8, 2007

Stacey Ann Clark is a Chiropractor based in Lyndonville, VT. Stacey Ann Clark practices in Lyndonville, VT and has the professional credentials of DC. The NPI Number for Stacey Ann Clark is 1699891580 and holds a License No. 006-0001158 (VT). The current practice location address for Stacey Ann Clark is 11 Hill St, Lyndonville, VT 05851-8911 and can be reached out via phone at 802-626-5866 and via fax at 802-626-0980.

Provider Profile Details

NPI Number
1699891580
Provider Name
Stacey Ann Clark
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
11 Hill St, Lyndonville, VT 05851-8911
Phone Number
802-626-5866
Fax Number
802-626-0980
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Hill St
Lyndonville, VT 05851-8911
State
Vermont
Zip
05851-8911
Phone Number
802-626-5866
Fax Number
802-626-0980
Lyndonville, VT 05851Get directions →

Provider Business Mailing Address Details

Address
256 East St
Lyndonville, VT 05851-8628
City
Lyndonville
State
VT
Zip
05851-8628
Phone Number
802-626-4218

License Information

License Number
006-0001158
License State
VT
Taxonomy
Chiropractor · 111N00000X · 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 Dr. Stacey A Clark, DC?

The NPI number of Dr. Stacey A Clark, DC is 1699891580. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey A Clark, DC?

Dr. Stacey A Clark, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in VT under license number 006-0001158.

Where does Dr. Stacey A Clark, DC practice?

The practice location is 11 Hill St, Lyndonville, VT 05851-8911. The office can be reached at 802-626-5866 (phone) or 802-626-0980 (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 1699891580 directly on the NPPES registry website.

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