Mcclintic, Elysa Amber

Mcclintic, Elysa Amber is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mcclintic, Elysa Amber can be contacted via phone (570) 887-3241.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 887-3241
Fax: (570) 887-3236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 283897 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD457228 Pennsylvania

Profile Details

NPI number 1619287596
LBN Legal business name Mcclintic, Elysa Amber
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated Feb 26th, 2021 - about 5 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 1619287596 NPPES
Pennsylvania MEDICAID 1031356160001
Pennsylvania MEDICAID 04506832

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