Healthcare Provider Details

I. General information

NPI: 1336058437
Provider Name (Legal Business Name): CLEMENS CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 ESTERLY ST
EAST JORDAN MI
49727-5112
US

IV. Provider business mailing address

8196 CARSON AVE
CHARLEVOIX MI
49720-2043
US

V. Phone/Fax

Practice location:
  • Phone: 231-430-1556
  • Fax:
Mailing address:
  • Phone: 231-430-1556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CLAYTON CLEMENS
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 231-430-1556