Clancy, Fallon Ann
Clancy, Fallon Ann is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3997. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clancy, Fallon Ann can be contacted via phone (360) 565-0999.Contact Information
Primary practice address
939 Caroline St
Port Angeles WA 98362-3997
Phone: (360) 565-0999
Fax: (360) 565-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60922624 | Washington |
Profile Details
| NPI number | 1023580461 |
|---|---|
| LBN Legal business name | Clancy, Fallon Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2018 |
| Last updated | Nov 4th, 2020 - about 5 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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