Mcclellan, Marie K
Mcclellan, Marie K is an sole proprietor health care provider with primary practice located at 401 Oldtowne St , Jacksonville NC 28546-8066. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Mcclellan, Marie K can be contacted via phone (252) 626-3634.Contact Information
Primary practice address
401 Oldtowne St
Jacksonville NC 28546-8066
Phone: (252) 626-3634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1982226916 |
|---|---|
| LBN Legal business name | Mcclellan, Marie K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2020 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982226916 | NPPES |
| Other | 1083332375 | TRICARE |
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