Leclair, John William
Leclair, John William is an sole proprietor health care provider with primary practice located at 1315 West College Ave. Suite 201, State College PA 16801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leclair, John William can be contacted via phone (814) 954-7620.Contact Information
Primary practice address
1315 West College Ave. Suite 201
State College PA 16801
Phone: (814) 954-7620
Fax: (814) 308-9985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS017092L | Pennsylvania |
Profile Details
| NPI number | 1396874863 |
|---|---|
| LBN Legal business name | Leclair, John William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Dec 29th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396874863 | NPPES |
| Pennsylvania | MEDICAID | 1010324310001 |
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