Mcclay, Rebecca
Mcclay, Rebecca is an sole proprietor health care provider with primary practice located at 31 N Saint Joseph Ave , Niles MI 49120-2207. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcclay, Rebecca can be contacted via phone (269) 985-4632.Contact Information
Primary practice address
31 N Saint Joseph Ave
Niles MI 49120-2207
Phone: (269) 985-4632
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 938607 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 1029371 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704406707 | Michigan |
Profile Details
NPI number | 1629613070 |
---|---|
LBN Legal business name | Mcclay, Rebecca |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2019 |
Last updated | Jan 2nd, 2024 - about 10 months 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 | 1629613070 | NPPES |
Texas | Other | 1029371 | STATE LICENSE |
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