Mcclurg, Penelope Lyn

Mcclurg, Penelope Lyn is an individual health care provider with primary practice located at 111 N Maplemere Rd Ste 100 , Williamsville NY 14221-3182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mcclurg, Penelope Lyn can be contacted via phone (716) 204-3200.

Contact Information

Primary practice address
111 N Maplemere Rd Ste 100 Williamsville NY 14221-3182
Phone: (716) 204-3200
Fax: (716) 204-4337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005649-1 New York

Profile Details

NPI number 1144201476
LBN Legal business name Mcclurg, Penelope Lyn
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144201476 NPPES
New York Other 005649 LICENSE

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