Mark Allen Clukey, D.C.
Individual provider Active NPI Chiropractor · Lock Haven, PA
NPI 1932238698 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932238698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CL-003668-L (PA)
- Practice address
- 220 Woodward Ave
Suite 3
Lock Haven, PA 17745-1757 - Phone
- (570) 893-1952
- Fax
- (570) 893-1952
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Garnet Valley Sport and Spine Chiropractic Center PA
Practice addresses (Care Compare)
3039 Foulk Rd
Garnet Valley, PA 19060-1701
Phone (610) 361-0070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000015 | PA | Practitioner - Chiropractic | 8224017702 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CL-003668-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garnet Valley Sport & Spine Chiropractic Center PA | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CL-003668-L | PA | Yes |
Addresses
Primary practice location
220 Woodward Ave
Suite 3
Lock Haven, PA 17745-1757
Mailing address
220 Woodward Ave
Suite 3
Lock Haven, PA 17745-1757
Phone (570) 893-1952
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL-1643451 | Other | PA | HIGHMARK BLUE SHIELD |
Other providers in Lock Haven, PA
- Clinton Hospital Corporation
- Clinton Hospital Corporation
- Clinton Hospital Corporation
- Clinton Hospital Corporation
- Clinton Hospital Corporation
- Kerri Collier
- Cheryl Bethany Colomb
- Community Nursing Service of Clinton County Inc
- Community Nursing Service of Clinton County, Inc.
- Courtney Condiracci
All providers in Lock Haven, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.