Provider Demographics
NPI:1821073503
Name:MCLAUGHLIN, JOSEPH PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PETER
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 1:8524 UNIVERSITY CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3579
Mailing Address - Country:US
Mailing Address - Phone:704-568-6400
Mailing Address - Fax:704-568-9077
Practice Address - Street 1:8524 UNIVERSITY CITY BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-3579
Practice Address - Country:US
Practice Address - Phone:704-568-6400
Practice Address - Fax:704-568-9077
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC236924OtherMAMSI PIN
NC0194LOtherCNC PIN
NC8908632Medicaid
NC08632OtherBCBS PIN
NC0970617OtherAETNA PIN
NC18698OtherPARTNERS PIN
NC25412OtherIUR PIN
NC561593916OtherFEDERAL TAX ID
NC8908632Medicaid