# DR. JOHN WILLIAM MCCLAREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104046945
- **Gender:** Man
- **Credential:** D.C., DACNB

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 1269 | NE | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 03/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47084486100 | — | NE |
| 01 | — | 99512 | BLUE CROSS BLUE SHIELD ID | NE |