Maclean, Jon Walter

Maclean, Jon Walter is an individual health care provider with primary practice located at 1420 S Miller St Suite J, Santa Maria CA 93454-6959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maclean, Jon Walter can be contacted via phone (805) 922-3573.

Contact Information

Primary practice address
1420 S Miller St Suite J Santa Maria CA 93454-6959
Phone: (805) 922-3573
Fax: (805) 922-7972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A6626 California

Profile Details

NPI number 1003827825
LBN Legal business name Maclean, Jon Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 10th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003827825 NPPES
California MEDICAID 00AX66260

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