Provider Demographics
NPI:1255082061
Name:MCMANN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MCMANN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:DELANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-682-3918
Mailing Address - Street 1:2118 12 OCLOCKKNOB RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6031
Mailing Address - Country:US
Mailing Address - Phone:540-682-3918
Mailing Address - Fax:
Practice Address - Street 1:2799 BELLS MILL RD
Practice Address - Street 2:
Practice Address - City:GOODE
Practice Address - State:VA
Practice Address - Zip Code:24556-2956
Practice Address - Country:US
Practice Address - Phone:540-682-3918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty