Provider Demographics
NPI:1528083235
Name:MCLEAN, JOHN C (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 S LONG DR STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-4375
Mailing Address - Country:US
Mailing Address - Phone:910-997-2727
Mailing Address - Fax:
Practice Address - Street 1:809 S LONG DR STE A
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4375
Practice Address - Country:US
Practice Address - Phone:910-997-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10646111N00000X
MI2301007729111N00000X
NC5584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U73309Medicare UPIN
M74030001Medicare ID - Type Unspecified