Healthcare Provider Details
I. General information
NPI: 1265748081
Provider Name (Legal Business Name): MCLAUGHLIN FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2010
Last Update Date: 09/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8701 ANTIETAM DR
WALKERSVILLE MD
21793-8020
US
IV. Provider business mailing address
8701 ANTIETAM DR
WALKERSVILLE MD
21793-8020
US
V. Phone/Fax
- Phone: 301-898-8005
- Fax: 301-898-8047
- Phone: 301-898-8005
- Fax: 301-898-8047
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARY
M.
GALANIS
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 301-898-8005