Provider Demographics
NPI:1639242779
Name:MCLAUGHLIN, NEIL PATRICK (DC)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:PATRICK
Last Name:MCLAUGHLIN
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 1:11424 NIGHT STAR WAY
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1011
Mailing Address - Country:US
Mailing Address - Phone:703-437-4218
Mailing Address - Fax:
Practice Address - Street 1:11495 SUNSET HILLS RD STE 240
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5257
Practice Address - Country:US
Practice Address - Phone:703-742-7856
Practice Address - Fax:703-742-4064
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000976111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA033540C41Medicare ID - Type UnspecifiedMEDICARE PROVIDER
VAU33006Medicare UPIN