Mcclanahan, Jan T

Mcclanahan, Jan T is an individual health care provider with primary practice located at 255 Baptist Blvd. Suite 407, Columbus MS 39705-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcclanahan, Jan T can be contacted via phone (662) 241-4223.

Contact Information

Primary practice address
255 Baptist Blvd. Suite 407 Columbus MS 39705-2004
Phone: (662) 241-4223
Fax: (662) 241-4460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19458 Mississippi

Profile Details

NPI number 1609873488
LBN Legal business name Mcclanahan, Jan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 21st, 2016 - about 9 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 1609873488 NPPES
Mississippi MEDICAID 03730025

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