Mcclain, Bianca

Mcclain, Bianca is an individual health care provider with primary practice located at 1 Long Wharf Dr Ste 321 , New Haven CT 06511-5946. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mcclain, Bianca can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr Ste 321 New Haven CT 06511-5946
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001495 Connecticut

Profile Details

NPI number 1093405730
LBN Legal business name Mcclain, Bianca
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2023
Last updated May 8th, 2023 - about 2 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 1093405730 NPPES
Connecticut MEDICAID 004041000
Connecticut MEDICAID 004217099
Connecticut MEDICAID 008003745

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