Mcclellan, Mitchell Alexander

Mcclellan, Mitchell Alexander is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Mcclellan, Mitchell Alexander can be contacted via phone (850) 883-8754.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.016149 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 34.016149 Ohio
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 34.016149 Ohio

Profile Details

NPI number 1750901211
LBN Legal business name Mcclellan, Mitchell Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Oct 5th, 2023 - about 2 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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