Mcclure, Bradley Allen

Mcclure, Bradley Allen is an sole proprietor health care provider with primary practice located at 6135 S 90Th East Ave , Tulsa OK 74133-6365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcclure, Bradley Allen can be contacted via phone (539) 367-1145.

Contact Information

Primary practice address
6135 S 90Th East Ave Tulsa OK 74133-6365
Phone: (539) 367-1145
Fax: (539) 367-1224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24252 Oklahoma

Profile Details

NPI number 1790755916
LBN Legal business name Mcclure, Bradley Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Apr 4th, 2024 - about 5 months 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 1790755916 NPPES
Other 2241877 CIGNA BEHAVIORAL HEALTH
Other 7099685 CIGNA BEHAVIORAL HEALTH
MEDICAID 200056450A CIGNA BEHAVIORAL HEALTH

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