Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC85 | TN |
NPI | 1053467332 |
---|---|
Provider Name | Dr. John Bruce Mclaughlin |
First Address | Knoxville, TN 37912-5136 |
Second Address | Knoxville, TN 37912-5136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 08/07/2007 |