Provider Demographics
NPI:1144345760
Name:CLARKIN, MICHAEL LEWIS (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEWIS
Last Name:CLARKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-1328
Mailing Address - Country:US
Mailing Address - Phone:724-693-8226
Mailing Address - Fax:724-693-8236
Practice Address - Street 1:112 UNION AVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071-1328
Practice Address - Country:US
Practice Address - Phone:724-693-8226
Practice Address - Fax:724-693-8236
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009599111N00000X
PAAJ0095672251E1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical