Dr. Jeffery Scott Clark , DC
Chiropractor • Lisbon, ME
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffery Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jeffery Clark, DC was a registered Chiropractor practicing in Lisbon, ME. Throughout an active medical career spanning 18 years, Dr. Clark provided care at the practice location at 379 LISBON ST until profile deactivation on 2025-12-25.
Practice Location & Contact Primary Location
379 Lisbon St
Lisbon, ME 042506822
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Lisbon, ME
Practicing in Lisbon, ME (443 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 25, 2025
Chiropractor (License #B01389 in NV)
NPI status registered as active in NPPES database
Registered at 379 LISBON ST, LISBON, ME 042506822 (Tel: 2073537200)
Registered at PO BOX 94, LISBON, ME 042500094 (Tel: 2075764448)
Recorded as JEFFERY CLARK, D.C.
Chiropractor (License #CR1139 in ME)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 94
Lisbon, ME 042500094
Phone: 2075764448
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