Mcclure, Charity

Mcclure, Charity is an individual health care provider with primary practice located at 45 Green Hollow Rd , Danielson CT 06239-3509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclure, Charity can be contacted via phone (860) 774-1255.

Contact Information

Primary practice address
45 Green Hollow Rd Danielson CT 06239-3509
Fax: (860) 928-8283
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 005450 Connecticut

Profile Details

NPI number 1366875007
LBN Legal business name Mcclure, Charity
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2013
Last updated Oct 8th, 2015 - about 11 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 1366875007 NPPES
Connecticut MEDICAID 004236346

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