Mcclellan, Bruce Jon

Mcclellan, Bruce Jon is an individual health care provider with primary practice located at 111 Colchester Ave Patrick 1 - Radiology, Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology is his primary health care specialty. Mcclellan, Bruce Jon can be contacted via phone (802) 847-8873.

Contact Information

Primary practice address
111 Colchester Ave Patrick 1 - Radiology Burlington VT 05401-1473
Phone: (802) 847-8873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology 2471V0106X 051-0001315 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 055-0030731 Vermont

Profile Details

NPI number 1659484640
LBN Legal business name Mcclellan, Bruce Jon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 19 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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