Mcclure, Mallory L
Mcclure, Mallory L is an individual health care provider with primary practice located at 22 St Paul Dr Ste 201 , Chambersburg PA 17201-1036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mcclure, Mallory L can be contacted via phone (717) 217-6944.Contact Information
Primary practice address
22 St Paul Dr Ste 201
Chambersburg PA 17201-1036
Phone: (717) 217-6944
Fax: (717) 217-6955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35079825 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0076409 | Maryland |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD457102 | Pennsylvania |
Profile Details
| NPI number | 1124014733 |
|---|---|
| LBN Legal business name | Mcclure, Mallory L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Sep 8th, 2021 - about 4 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 | 1124014733 | NPPES |
| Pennsylvania | MEDICAID | 103121942 | |
| Pennsylvania | MEDICAID | 2331444 |
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