Joseph C Clark, DC | |
803 N Foreman St, Vinita, OK 74301-1435 | |
(918) 256-5111 | |
(918) 256-5222 |
Full Name | Joseph C Clark |
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Gender | Male |
Speciality | Chiropractic |
Experience | 20 Years |
Location | 803 N Foreman St, Vinita, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750304481 | NPI | - | NPPES |
OKAAA2679 | Other | OK | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR007743 (Georgia) | Secondary |
111N00000X | Chiropractor | 4016 (Oklahoma) | Primary |
Provider Name | Green Country Spine & Sport, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942586706 PECOS PAC ID: 9638344518 Enrollment ID: O20111205000070 |
Mailing Address | Practice Location Address |
---|---|
Joseph C Clark, DC Po Box 248, Vinita, OK 74301-0248 Ph: (918) 256-5111 | Joseph C Clark, DC 803 N Foreman St, Vinita, OK 74301-1435 Ph: (918) 256-5111 |
Mr. Daniel P Day, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1558 E North Ridge Dr, Vinita, OK 74301 Phone: 918-915-0312 | |
Dr. Jack Benson Weems, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 467 South Wilson, Vinita, OK 74301 Phone: 918-256-8744 Fax: 918-256-8747 | |
Green Country Spine & Sport, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 803 N Foreman St, Vinita, OK 74301 Phone: 918-256-5111 Fax: 918-256-5222 |