Mcclenahan, Jane Diane

Mcclenahan, Jane Diane is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mcclenahan, Jane Diane can be contacted via phone (805) 468-2188.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Phone: (805) 468-2188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X G57808 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G57808 California

Profile Details

NPI number 1679599377
LBN Legal business name Mcclenahan, Jane Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 3rd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679599377 NPPES
California MEDICAID 00G578080
California Other G57808

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