Provider Demographics
NPI:1528272309
Name:CLARKIN FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:CLARKIN FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:CLARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-693-8226
Mailing Address - Street 1:105 SEMINARY AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-9747
Mailing Address - Country:US
Mailing Address - Phone:724-693-8226
Mailing Address - Fax:724-693-8236
Practice Address - Street 1:105 SEMINARY AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071-9747
Practice Address - Country:US
Practice Address - Phone:724-693-8226
Practice Address - Fax:724-693-8236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty