DR. KARSON ELLSWORTH CLARK JR. (NPI# 1942326822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942326822 |
| Entity Type | Individual |
| Full Name | DR. KARSON ELLSWORTH CLARK JR. |
| Credential | D.C. |
| Practice Address |
11 Hill St Lyndonville VT 05851-8911 |
| Practice Telephone | 8026265866 |
| Practice Fax Number | 8026260980 |
| Mailing Telephone | 8026265866 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006-0001143 | VT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | TAX IDENTIFICATION NUMBER | 75-3165676 | 01 |
| Street Address |
11 HILL ST |
| City | LYNDONVILLE |
| State | VT |
| Zip Code | 05851-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254657 | Lyndonville Family Chiropractic, Inc. | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-05-15 |
| 1699891580 | Stacey Ann Clark | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877726 | Courtney Marie Daffinrud | Behavioral Analyst | 878 Ridge Road, Kirby, VT 05851 | 2017-01-09 |
| 1467881342 | Michelle Laferriere | Speech-Language Pathologist | 97 Rte 5, Lyndonville, VT 05851 | 2013-11-01 |
| 1114228780 | Kathleen Knights | Naturopath | 277 Main Street, Lyndonville, VT 05851 | 2010-11-12 |
| 1225344963 | Lisa Avery | Physical Therapist | 31 Middle St., Northern Physical Therapy, PC, Lyndonville, VT 05851 | 2010-08-19 |
| 1679706360 | Evita E. Sandoval | Specialist/Technologist | 569 Main Street, Lyndonville, VT 05851 | 2009-08-27 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1780836023 | Alfred J Tomaselli | Counselor | 142 Cornerstone Lane, Lyndonville, VT 05851 | 2008-10-17 |
| 1760601256 | Vermont State Colleges | Family Medicine | Lyndon State College, 1001 College Road, Lyndonville, VT 05851 | 2007-04-24 |
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1164509980 | Northern Physical Therapy PC | Clinic/Center | 569 Main St, Lyndonville, VT 05851 | 2006-11-01 |
| Find all providers in zip 05851 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254657 | Lyndonville Family Chiropractic, Inc. | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-05-15 |
| 1699891580 | Stacey Ann Clark | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617885 | Cody W Brown | Chiropractor | 261 Mountain View Dr Ste 401, Colchester, VT 05446-8047 | 2020-07-27 |
| 1598398398 | Leah Marie Nyaletey | Chiropractor | 213 Vt 15, Jericho, VT 05465-9639 | 2020-02-20 |
| 1285266759 | Jericho Chiropractic LLC | Chiropractor | 397 Route 15, Jericho, VT 05465-2044 | 2020-02-12 |
| 1588223374 | River Bend Chiropractic | Chiropractor | 316 Western Ave Ste 1, Brattleboro, VT 05301-3299 | 2019-06-06 |
| 1215490610 | Mary Atkinson | Chiropractor | 71 Allen St Ste 203, Rutland, VT 05701-4570 | 2019-04-11 |
| 1487158044 | Alexandra L Jackson | Chiropractor | 20 W Canal St Apt 221, Winooski, VT 05404-2133 | 2018-03-20 |
| 1952810509 | Sommers Chiropractic LLC | Chiropractor | 4 Market St Ste 2, South Burlington, VT 05403-6279 | 2017-09-27 |
| 1104342328 | Benjamin Joseph Rauch | Chiropractor | 14 Pond St, Stowe, VT 05672 | 2017-08-18 |
| 1932643012 | Alyssa Rae Strassel | Chiropractor | 600 Blair Park Rd Ste 260, Williston, VT 05495-7586 | 2016-12-08 |
| 1245788132 | John Glemb | Chiropractor | 20 Joy Dr, Suite 100, South Burlington, VT 05403-6151 | 2016-09-20 |
| Find all providers with the same taxonomy | ||||
| City | LYNDONVILLE |
| Zip Code | 05851 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.