Mcclellan, William R

Mcclellan, William R is an individual health care provider with primary practice located at 43 New Scotland Ave Mc157 The Vascular Group Pllc, Albany NY 12208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcclellan, William R can be contacted via phone (518) 262-5640.

Contact Information

Primary practice address
43 New Scotland Ave Mc157 The Vascular Group Pllc Albany NY 12208
Fax: (518) 262-5110
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002264 New York

Profile Details

NPI number 1669449138
LBN Legal business name Mcclellan, William R
Credentials RPA C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1669449138 NPPES
New York MEDICAID 02340729

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