Mclellan, Jennifer M

Mclellan, Jennifer M is an individual health care provider with primary practice located at 935 State Route 28 , Milford OH 45150-1957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mclellan, Jennifer M can be contacted via phone (513) 831-8555.

Contact Information

Primary practice address
935 State Route 28 Milford OH 45150-1957
Fax: (513) 831-8685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35075113M Ohio

Profile Details

NPI number 1548269657
LBN Legal business name Mclellan, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 28th, 2020 - about 4 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 1548269657 NPPES
Ohio MEDICAID 2208677

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