Mcclaren, John William

Mcclaren, John William is an individual health care provider with primary practice located at 12040 Mcdermott Plz Ste 320, La Vista NE 68128-2354. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Mcclaren, John William can be contacted via phone (402) 597-2869.

Contact Information

Primary practice address
12040 Mcdermott Plz Ste 320 La Vista NE 68128-2354
Fax: (402) 597-2536
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 1269 Nebraska

Profile Details

NPI number 1104046945
LBN Legal business name Mcclaren, John William
Credentials D.C., DACNB
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Mar 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104046945 NPPES
Nebraska MEDICAID 47084486100
Nebraska Other 99512

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