Mcclellan, Daniel L

Mcclellan, Daniel L is an individual health care provider with primary practice located at 2544 Court Dr Suite G, Gastonia NC 28054-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcclellan, Daniel L can be contacted via phone (704) 864-7821.

Contact Information

Primary practice address
2544 Court Dr Suite G Gastonia NC 28054-3450
Phone: (704) 864-7821
Fax: (704) 865-0519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39851 North Carolina

Profile Details

NPI number 1053332858
LBN Legal business name Mcclellan, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 27th, 2010 - about 15 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 1053332858 NPPES
North Carolina MEDICAID 8955767
North Carolina Other N39851

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