Active NPIIndividual providerSole proprietor

Caleb Clark

Mechanotherapist in Portland, Maine

NPI Number1770971525
Practice location
178 Middle Street, 504, Portland, ME 04101
Fax
—
Last updated
January 2, 2015

Caleb Clark is a Mechanotherapist based in Portland, ME. Caleb Clark practices in Portland, ME. The NPI Number for Caleb Clark is 1770971525 and holds a License No. MT4787 (ME). The current practice location address for Caleb Clark is 178 Middle Street, 504, Portland, ME 04101 and can be reached out via phone at 207-699-8483.

Provider Profile Details

NPI Number
1770971525
Provider Name
Caleb Clark
Provider Entity Type
Individual
Gender
Male
Address
178 Middle Street, 504, Portland, ME 04101
Phone Number
207-699-8483
Primary Taxonomy
Mechanotherapist · 172M00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2015
Last Update Date
January 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 Middle Street
504
Portland, ME 04101
State
Maine
Zip
04101
Phone Number
207-699-8483
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
163 Neal St Apt 2L
Portland, ME 04102-3358
City
Portland
State
ME
Zip
04102-3358

License Information

License Number
MT4787
License State
ME
Taxonomy
Mechanotherapist · 172M00000X · 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 Caleb Clark?

The NPI number of Caleb Clark is 1770971525. It was assigned on January 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Caleb Clark?

Caleb Clark is registered under the primary taxonomy Mechanotherapist (code 172M00000X), licensed in ME under license number MT4787.

Where does Caleb Clark practice?

The practice location is 178 Middle Street, 504, Portland, ME 04101. The office can be reached at 207-699-8483 (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 1770971525 directly on the NPPES registry website.

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