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JEFFERY A CLARK, DC, PC
NPI 1639285174
Chiropractor in Lake Orion, MI

Active since August 21, 2006
2991 S BALDWIN RD, LAKE ORION, MI 48360(248) 391-4600(248) 391-1910 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffery A Clark, Dc, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY A CLARK, DC, PC (NPI 1639285174) is a healthcare organization registered as a chiropractor in Lake Orion, Michigan and active in the NPI registry since August 2006. The organization lists Jeffery Allen Clark, President, as its authorized official.

NPPES Registry Identity

NPI1639285174
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJEFFERY A CLARK, DC, PC
Location Address2991 S BALDWIN RDLake Orion, MI 48360-1665
Mailing Address2991 S Baldwin RdLake Orion, MI 48360-1665 · (248) 391-4600 · Fax (248) 391-1910
Phone(248) 391-4600
Fax(248) 391-1910
Organization SubpartNo
Authorized OfficialJeffery Allen ClarkPresident · (248) 391-4600
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 21, 2011
✔ NPI 1639285174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301006916
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.
2991 S BALDWIN RD, Lake Orion, MI 48360
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Other Identifiers 4

Medicare PIN0P34300MI
OtherBLUE CROSSMI · Blue Cross Michigan
Medicaid143126777MI
Medicare UPINU66492

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFERY ALLEN CLARK DC
Chiropractor
2991 S BALDWIN RD
LAKE ORION, MI 48360
Oakland County (248) 391-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery A Clark, Dc, PC's NPI number?

The NPI number for Jeffery A Clark, Dc, PC is 1639285174. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Jeffery A Clark, Dc, PC located?

Jeffery A Clark, Dc, PC is located at 2991 S Baldwin Rd, Lake Orion, MI 48360. The listed phone number is (248) 391-4600.

What is Jeffery A Clark, Dc, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jeffery A Clark, Dc, PC was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.