Healthcare Provider Details

I. General information

NPI: 1285658567
Provider Name (Legal Business Name): SEAN C MCLAUGHLIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 W GREENBROOK RD
NORTH CALDWELL NJ
07006-4759
US

IV. Provider business mailing address

133 W GREENBROOK RD
NORTH CALDWELL NJ
07006-4759
US

V. Phone/Fax

Practice location:
  • Phone: 973-396-2447
  • Fax: 973-396-2447
Mailing address:
  • Phone: 973-396-2447
  • Fax: 973-396-2447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00643100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: