Mcclellan, John William

Mcclellan, John William is an individual health care provider with primary practice located at 13616 California St Ste 100, Omaha NE 68154-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Mcclellan, John William can be contacted via phone (402) 496-0404.

Contact Information

Primary practice address
13616 California St Ste 100 Omaha NE 68154-5335
Phone: (402) 496-0404
Fax: (402) 496-0517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 19730 Nebraska

Profile Details

NPI number 1114920592
LBN Legal business name Mcclellan, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 28th, 2009 - 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 1114920592 NPPES
Nebraska Other 00094 BCBS
Nebraska Other 200037481 BCBS
Nebraska MEDICAID 1514281 BCBS
Nebraska MEDICAID 47081304012 BCBS

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