Provider Demographics
NPI:1346310315
Name:MCLAUGHLIN CHIROPRACTIC CENTER,LLC
Entity Type:Organization
Organization Name:MCLAUGHLIN CHIROPRACTIC CENTER,LLC
Other - Org Name:CHIROPRACTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:252-808-2888
Mailing Address - Street 1:PO BOX 2190
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2190
Mailing Address - Country:US
Mailing Address - Phone:252-808-2888
Mailing Address - Fax:252-808-3106
Practice Address - Street 1:5039 EXECUTIVE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2190
Practice Address - Country:US
Practice Address - Phone:252-808-2888
Practice Address - Fax:252-808-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1898111N00000X
NC3489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890860HMedicaid
NC5905464Medicaid
NCV09406Medicare UPIN
NC890860HMedicaid
NCU25313Medicare UPIN
NC2450049Medicare ID - Type UnspecifiedPATRICK D. MCLAUGHLIN