Mcclintock, Michael L

Mcclintock, Michael L is an individual health care provider with primary practice located at 205 S Kentucky Ave , Corbin KY 40701-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mcclintock, Michael L can be contacted via phone (606) 528-0901.

Contact Information

Primary practice address
205 S Kentucky Ave Corbin KY 40701-1533
Phone: (606) 528-0901
Fax: (606) 528-0903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21428 Kentucky

Profile Details

NPI number 1790720506
LBN Legal business name Mcclintock, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 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 1790720506 NPPES
Kentucky MEDICAID 64-21428-1

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