Mcclain, Theron Glen

Mcclain, Theron Glen is an individual health care provider with primary practice located at 960 N State St Ste B , Hemet CA 92543-1473. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcclain, Theron Glen can be contacted via phone (951) 652-3560.

Contact Information

Primary practice address
960 N State St Ste B Hemet CA 92543-1473
Phone: (951) 652-3560
Fax: (951) 929-2780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1952438889
LBN Legal business name Mcclain, Theron Glen
Credentials SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952438889 NPPES
California MEDICAID 1807

Popular Providers