Provider Demographics
NPI:1710138722
Name:MCCLEARY, HENRY ARTHUR (DC, CSCS)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:ARTHUR
Last Name:MCCLEARY
Suffix:
Gender:M
Credentials:DC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CARROLLTON RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5627
Mailing Address - Country:US
Mailing Address - Phone:703-463-4644
Mailing Address - Fax:703-444-4384
Practice Address - Street 1:2121 EISENHOWER AVE., # 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314
Practice Address - Country:US
Practice Address - Phone:855-862-3935
Practice Address - Fax:703-444-4384
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0877111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation