Leclair, John William

Leclair, John William is an sole proprietor health care provider with primary practice located at 1315 West College Ave. Suite 201, State College PA 16801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leclair, John William can be contacted via phone (814) 954-7620.

Contact Information

Primary practice address
1315 West College Ave. Suite 201 State College PA 16801
Phone: (814) 954-7620
Fax: (814) 308-9985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS017092L Pennsylvania

Profile Details

NPI number 1396874863
LBN Legal business name Leclair, John William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Dec 29th, 2016 - about 10 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 1396874863 NPPES
Pennsylvania MEDICAID 1010324310001

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