Mclean, Jill Kathryn

Mclean, Jill Kathryn is an sole proprietor health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy , Bethel AK 98862. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mclean, Jill Kathryn can be contacted via phone (907) 543-6229.

Contact Information

Primary practice address
829 Chief Eddie Hoffman Hwy Bethel AK 98862
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD5790 Alaska

Profile Details

NPI number 1144341660
LBN Legal business name Mclean, Jill Kathryn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Aug 10th, 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 1144341660 NPPES
Alaska MEDICAID DD5790

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