Mcclune, Antonia Lynn
Mcclune, Antonia Lynn is an sole proprietor health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Mcclune, Antonia Lynn can be contacted via phone (541) 382-4900.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DP169491 | Oregon |
Profile Details
| NPI number | 1285923714 |
|---|---|
| LBN Legal business name | Mcclune, Antonia Lynn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285923714 | NPPES |
| Oregon | MEDICAID | 500677212 |
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