Provider Demographics
NPI:1447278379
Name:MCLELLAND, AMBER LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:LYNN
Last Name:MCLELLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 HANOVER ST
Mailing Address - Street 2:STE 14
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766
Mailing Address - Country:US
Mailing Address - Phone:603-298-7400
Mailing Address - Fax:866-609-3239
Practice Address - Street 1:103 HANOVER ST
Practice Address - Street 2:STE 14
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1098
Practice Address - Country:US
Practice Address - Phone:603-298-7400
Practice Address - Fax:866-609-3239
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH713-0204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30945YMedicare UPIN
NHMC RE 8066Medicare ID - Type Unspecified