Mcclellan, Nickolas Tyler

Mcclellan, Nickolas Tyler is an sole proprietor health care provider with primary practice located at 34101 Farenholt Ave Bldg 14 , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mcclellan, Nickolas Tyler can be contacted via phone (619) 532-6825.

Contact Information

Primary practice address
34101 Farenholt Ave Bldg 14 San Diego CA 92134-7000
Phone: (619) 532-6825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1033625835
LBN Legal business name Mcclellan, Nickolas Tyler
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2017
Last updated Dec 17th, 2017 - about 7 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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