Mcclellan, Derek A
Mcclellan, Derek A is an individual health care provider with primary practice located at 507 Executive Campus Dr Suite 160, Westerville OH 43082-9838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcclellan, Derek A can be contacted via phone (614) 891-9505.Contact Information
Primary practice address
507 Executive Campus Dr Suite 160
Westerville OH 43082-9838
Phone: (614) 891-9505
Fax: (614) 891-6416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.35075108 | Ohio |
Profile Details
| NPI number | 1295760726 |
|---|---|
| LBN Legal business name | Mcclellan, Derek A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Sep 15th, 2008 - about 18 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 | 1295760726 | NPPES |
| Ohio | MEDICAID | 2160781 |
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