Mcclure, Theresa Kay
Mcclure, Theresa Kay is an individual health care provider with primary practice located at 811 W 2Nd St , Bloomington IN 47403-2212. 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, Theresa Kay can be contacted via phone (812) 333-4001.Contact Information
Primary practice address
811 W 2Nd St
Bloomington IN 47403-2212
Phone: (812) 333-4001
Fax: (812) 333-4057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000048A | Indiana |
Profile Details
| NPI number | 1952580862 |
|---|---|
| LBN Legal business name | Mcclure, Theresa Kay |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Jul 7th, 2020 - 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 | 1952580862 | NPPES |
| Indiana | MEDICAID | 200185140 |
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