Mcclain, Jeffrey C
Mcclain, Jeffrey C is an sole proprietor health care provider with primary practice located at 1132 W Clark Blvd Suite B, Murfreesboro TN 37129-2381. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcclain, Jeffrey C can be contacted via phone (615) 893-0149.Contact Information
Primary practice address
1132 W Clark Blvd Suite B
Murfreesboro TN 37129-2381
Phone: (615) 893-0149
Fax: (615) 849-9062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1024T | Tennessee |
Profile Details
| NPI number | 1306837885 |
|---|---|
| LBN Legal business name | Mcclain, Jeffrey C |
| Credentials | OD PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 21st, 2011 - about 15 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 | 1306837885 | NPPES |
| Tennessee | Other | 3595873 | MEDICARE TPAN |
| Tennessee | Other | 2003853 | MEDICARE TPAN |
| Tennessee | MEDICAID | 3595873 | MEDICARE TPAN |
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