Mcclenny, Shaun R

Mcclenny, Shaun R is an individual health care provider with primary practice located at 1625 Crofton Ctr , Crofton MD 21114-1318. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mcclenny, Shaun R can be contacted via phone (410) 451-3561.

Contact Information

Primary practice address
1625 Crofton Ctr Crofton MD 21114-1318
Phone: (410) 451-3561
Fax: (410) 451-2265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 03452 Maryland

Profile Details

NPI number 1104941509
LBN Legal business name Mcclenny, Shaun R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 21st, 2010 - about 14 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 1104941509 NPPES
Maryland Other K7710001 CAREFIRST XIP
Maryland Other 260119934 CAREFIRST XIP
Maryland Other 64671401 CAREFIRST XIP

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