HENRY A MCCLEARY DC LLC NPI 1003443359

Clinic/Center (Multi-Specialty) in Woodbridge, VA

Organization Clinic/Center Multi-Specialty

About HENRY A MCCLEARY DC LLC

Henry A Mccleary Dc Llc is a provider established in Woodbridge, Virginia specializing in clinic/center (multi-specialty) . The NPI number of Henry A Mccleary Dc Llc is 1003443359 and was assigned on March 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated March 2020. The authorized official of this NPI record is Dr. Henry A Mccleary Dc (Owner)

NPI

1003443359

Provider NameHENRY A MCCLEARY DC LLC
Provider Location Address2239C TACKETTS MILL DR WOODBRIDGE, VA 22192
Provider Mailing Address2239C TACKETTS MILL DR WOODBRIDGE, VA 22192
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-26-2020
Last Update Date03-26-2020

Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty

Business Address

HENRY A MCCLEARY DC LLC
2239C TACKETTS MILL DR
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 463-4644
Fax: (855) 552-3776

Get Directions

Mailing Address

HENRY A MCCLEARY DC LLC
2239C TACKETTS MILL DR
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 463-4644
Fax: (855) 552-3776

Authorized Official

Authorized Official NameDR. HENRY A MCCLEARY DC
Authorized Official TitleOWNER
Authorized Official Phone(703) 463-4644

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceNo

Taxonomy Description:

2261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainNo

Taxonomy Description:

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.