Mccleary, Marissa Sue

Mccleary, Marissa Sue is an individual health care provider with primary practice located at 610 Walnut St , Coshocton OH 43812-1655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccleary, Marissa Sue can be contacted via phone (740) 622-0033.

Contact Information

Primary practice address
610 Walnut St Coshocton OH 43812-1655
Phone: (740) 622-0033
Fax: (740) 622-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 019979 Ohio

Profile Details

NPI number 1285186585
LBN Legal business name Mccleary, Marissa Sue
Credentials APRN FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Mar 30th, 2020 - about 5 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 1285186585 NPPES
Ohio MEDICAID 0425776

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