Mcclain, Nathan Alan

Mcclain, Nathan Alan is an sole proprietor health care provider with primary practice located at 3250 W. 16Th St , Bedford IN 47421-3503. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcclain, Nathan Alan can be contacted via phone (812) 279-3466.

Contact Information

Primary practice address
3250 W. 16Th St Bedford IN 47421-3503
Fax: (812) 279-3701
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003463A Indiana

Profile Details

NPI number 1053518647
LBN Legal business name Mcclain, Nathan Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Feb 26th, 2013 - about 12 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 1053518647 NPPES
Indiana MEDICAID 200870690

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