Mcclurg, Carlene M
Mcclurg, Carlene M is an individual health care provider with primary practice located at 301 E Maumee St , Angola IN 46703-2012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcclurg, Carlene M can be contacted via phone (260) 667-5635.Contact Information
Primary practice address
301 E Maumee St
Angola IN 46703-2012
Phone: (260) 667-5635
Fax: (260) 665-8852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000700A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000700A | Indiana |
Profile Details
NPI number | 1235164732 |
---|---|
LBN Legal business name | Mcclurg, Carlene M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Mar 7th, 2024 - about last year |
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 | 1235164732 | NPPES |
Indiana | Other | 000000490402 | ANTHEM BLUE CROSS |
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