Provider Demographics
NPI:1356319461
Name:MCLAUGHLIN, PATRICK D (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:D
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:D
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 2190
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2190
Mailing Address - Country:US
Mailing Address - Phone:252-808-2888
Mailing Address - Fax:252-808-3106
Practice Address - Street 1:5056 HWY 70 W
Practice Address - Street 2:SUITE B
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4502
Practice Address - Country:US
Practice Address - Phone:252-808-2888
Practice Address - Fax:252-808-3106
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890194XMedicaid
NCU25313Medicare UPIN
NC890194XMedicaid