Mclean, Vicky C
Mclean, Vicky C is an individual health care provider with primary practice located at 1200 N State St Suite 480, Jackson MS 39202-2000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mclean, Vicky C can be contacted via phone (601) 352-2273.Contact Information
Primary practice address
1200 N State St Suite 480
Jackson MS 39202-2000
Phone: (601) 352-2273
Fax: (601) 714-3415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 21603 | Mississippi |
Profile Details
| NPI number | 1528221009 |
|---|---|
| LBN Legal business name | Mclean, Vicky C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2008 |
| Last updated | Feb 22nd, 2021 - about 3 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 | 1528221009 | NPPES |
| Mississippi | MEDICAID | 09938503 |
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