Dr. Shaun R Mcclenny
Chiropractic Sports Physician
1625 Crofton Ctr
Crofton
, Maryland 21114-1318
Dr. Shaun R Mcclenny
Chiropractic Sports Physician
1625 Crofton Ctr
Crofton
, Maryland 21114-1318
(410) 451-2265
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Shaun R Mcclenny
- Po Box 3788
- Crofton, MD
- Zip : 21114-3788
- Fax : (410) 451-2265
- Phone : (410) 451-3561
Second Address
- Dr. Shaun R Mcclenny
- 1625 Crofton Ctr
- Crofton, MD
- Zip : 21114-1318
- Fax : (410) 451-2265
- Phone : (410) 451-3561
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 03452 | MD |
National Provider Identifier
| NPI | 1104941509 |
|---|---|
| Provider Name | Dr. Shaun R Mcclenny |
| First Address | Crofton, MD 21114-3788 |
| Second Address | Crofton, MD 21114-1318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2007 |
| Last Update Date | 21/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 260119934 | TAX ID (01) | MD |
| 64671401 | CAREFIRST RENDERING # (01) | MD |
| K7710001 | CAREFIRST XIP (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.