Mcclain, Timothy P

Mcclain, Timothy P is an individual health care provider with primary practice located at 8871 Gorman Rd Ste 300 , Laurel MD 20723-5877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcclain, Timothy P can be contacted via phone (301) 498-3150.

Contact Information

Primary practice address
8871 Gorman Rd Ste 300 Laurel MD 20723-5877
Fax: (410) 601-8886
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D39532 Maryland

Profile Details

NPI number 1730185364
LBN Legal business name Mcclain, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 19th, 2021 - about 3 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 1730185364 NPPES
Maryland MEDICAID 152931500
Maryland Other 52317601
Maryland Other 80160012

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