Provider Demographics
NPI:1780661520
Name:MCLOUGHLIN, WILLIAM EDWARD (D C)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:MCLOUGHLIN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 W US 223
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1242
Mailing Address - Country:US
Mailing Address - Phone:517-263-2900
Mailing Address - Fax:517-263-9250
Practice Address - Street 1:1921 W US 223
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1242
Practice Address - Country:US
Practice Address - Phone:517-263-2900
Practice Address - Fax:517-263-9250
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0D65021Medicare ID - Type Unspecified
MIT82891Medicare UPIN