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
Phone: (513) 831-8555
Fax: (513) 831-8685
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548269657 | NPPES |
Ohio | MEDICAID | 2208677 |
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