Mcclure, Tina Maria

Mcclure, Tina Maria is an sole proprietor health care provider with primary practice located at 206 E 5Th St , Lake Park IA 51347-7745. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Mcclure, Tina Maria can be contacted via phone (712) 832-3888.

Contact Information

Primary practice address
206 E 5Th St Lake Park IA 51347-7745
Phone: (712) 832-3888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Iowa

Profile Details

NPI number 1720273394
LBN Legal business name Mcclure, Tina Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 18 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 1720273394 NPPES
Iowa Other 0191551 MEDICAID PROVIDER NUMBER

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