Mcclenathan, Daniel Theodore

Mcclenathan, Daniel Theodore is an individual health care provider with primary practice located at 601 5Th St S Suite #605, St Petersburg FL 33701-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Mcclenathan, Daniel Theodore can be contacted via phone (727) 822-4300.

Contact Information

Primary practice address
601 5Th St S Suite #605 St Petersburg FL 33701-4804
Phone: (727) 822-4300
Fax: (727) 456-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME0042464 Florida

Profile Details

NPI number 1275511669
LBN Legal business name Mcclenathan, Daniel Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jan 20th, 2015 - about 10 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 1275511669 NPPES
Florida MEDICAID 067720500

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