Provider Demographics
NPI:1487977443
Name:MCCLAIN, DAVID HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HOWARD
Last Name:MCCLAIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:HOWARD
Other - Last Name:MCCLAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5829 W COUNTY ROAD 20
Mailing Address - Street 2:P.O. BOX 7116
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-8137
Mailing Address - Country:US
Mailing Address - Phone:970-669-2836
Mailing Address - Fax:970-669-5021
Practice Address - Street 1:5829 W COUNTY ROAD 20
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-8137
Practice Address - Country:US
Practice Address - Phone:970-669-2836
Practice Address - Fax:970-669-5021
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3172111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician