Mcclain, Boeldridge

Mcclain, Boeldridge is an sole proprietor health care provider with primary practice located at 1266 E Caroline Ln , Tempe AZ 85284-3363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mcclain, Boeldridge can be contacted via phone (623) 512-3893.

Contact Information

Primary practice address
1266 E Caroline Ln Tempe AZ 85284-3363
Phone: (623) 512-3893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14954 Hawaii
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 30909 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 30909 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30909 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 061624 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 44175 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301093420 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME102957 Florida

Profile Details

NPI number 1992772446
LBN Legal business name Mcclain, Boeldridge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Jun 12th, 2024 - about 3 months 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 1992772446 NPPES
Arizona MEDICAID 920703

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