Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC009921 | PA |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00713300 | NJ |
NPI | 1205005477 |
---|---|
Provider Name | Dr. Michael John Mclarnon |
First Address | Cresco, PA 18326-7205 |
Second Address | Marlboro, NJ 07746-1439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 02/08/2017 |