Provider Demographics
NPI:1760577969
Name:MCLAUGHLIN CHIROPRACTIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:MCLAUGHLIN CHIROPRACTIC ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-686-7246
Mailing Address - Street 1:2330 MERCHANTS DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-5136
Mailing Address - Country:US
Mailing Address - Phone:865-686-7246
Mailing Address - Fax:
Practice Address - Street 1:2330 MERCHANTS DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-5136
Practice Address - Country:US
Practice Address - Phone:865-686-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU62187Medicare UPIN
TN3678458Medicare ID - Type Unspecified