Mcclain, Thomas D
Mcclain, Thomas D is an individual health care provider with primary practice located at 3126 S Jackson Ave Suite 200, Joplin MO 64804-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mcclain, Thomas D can be contacted via phone (417) 625-2278.Contact Information
Primary practice address
3126 S Jackson Ave Suite 200
Joplin MO 64804-2534
Phone: (417) 625-2278
Fax: (417) 625-2277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 104885 | Missouri |
Profile Details
NPI number | 1407838469 |
---|---|
LBN Legal business name | Mcclain, Thomas D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Nov 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407838469 | NPPES |
Missouri | Other | 104885 | STATE LICENSE |
Missouri | MEDICAID | 206864522 | STATE LICENSE |
Missouri | MEDICAID | 200964580A | STATE LICENSE |
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