Provider Demographics
NPI:1437312782
Name:MCGAUGHRAN CHIROPRACTIC CLINICS, P.C.
Entity Type:Organization
Organization Name:MCGAUGHRAN CHIROPRACTIC CLINICS, P.C.
Other - Org Name:CHARLOTTESVILLE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:GARRETT
Authorized Official - Last Name:MCGAUGHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-637-5416
Mailing Address - Street 1:2335 SEMINOLE LN
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8303
Mailing Address - Country:US
Mailing Address - Phone:434-975-2995
Mailing Address - Fax:434-975-4495
Practice Address - Street 1:2335 SEMINOLE LN
Practice Address - Street 2:SUITE 600
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8303
Practice Address - Country:US
Practice Address - Phone:434-975-2995
Practice Address - Fax:434-975-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty