Jerry D. McClane, D.C.,P.C.

Organization Active NPI Chiropractor · Mount Morris, MI

NPI 1083750806 · NPPES record last updated Oct 21, 2011

Key facts

NPI
1083750806
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
JM002158 (MI)
Legal business name
JERRY D. MCCLANE, D.C.,P.C.
Practice address
3060 W Coldwater Rd
Mount Morris, MI 48458-9347
Phone
(810) 785-0721
Fax
(810) 789-3678
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

Name
Dr. Jerry D McClane, DC
Title
Chiropractor
Phone
(810) 785-0721

National Provider Directory

Locations

3060 W Coldwater Rd
Mount Morris, MI 48458
Phone (810) 785-0721

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X JM002158 MI Yes

Addresses

Primary practice location

3060 W Coldwater Rd
Mount Morris, MI 48458-9347

Mailing address

3060 W Coldwater Rd
Mount Morris, MI 48458-9347
Phone (810) 785-0721

Other identifiers

IdentifierTypeStateIssuer
1032760MedicaidMI

Other providers in Mount Morris, MI

All providers in Mount Morris, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.