Provider Demographics
NPI:1396828356
Name:MCCLELLAN, DANIEL SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SCOTT
Last Name:MCCLELLAN
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:PO BOX 4098
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36204-4098
Mailing Address - Country:US
Mailing Address - Phone:256-238-0673
Mailing Address - Fax:256-238-0675
Practice Address - Street 1:1021 US HIGHWAY 431
Practice Address - Street 2:SUITE 12
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36206-1970
Practice Address - Country:US
Practice Address - Phone:256-238-0673
Practice Address - Fax:256-238-0675
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU37329Medicare UPIN