Mcclain, Debra R
Mcclain, Debra R is an individual health care provider with primary practice located at 310 N Ironwood Dr , South Bend IN 46615-2520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcclain, Debra R can be contacted via phone (574) 968-1222.Contact Information
Primary practice address
310 N Ironwood Dr
South Bend IN 46615-2520
Phone: (574) 968-1222
Fax: (574) 968-1223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01028643 | Indiana |
Profile Details
| NPI number | 1487657896 |
|---|---|
| LBN Legal business name | Mcclain, Debra R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Dec 29th, 2011 - about 13 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 | 1487657896 | NPPES |
| Indiana | MEDICAID | 100091000A |
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