Mcclintock, Deborah Lynn

Mcclintock, Deborah Lynn is an sole proprietor health care provider with primary practice located at 911 Maryland Ave , Martinsburg WV 25401-1727. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mcclintock, Deborah Lynn can be contacted via phone (304) 267-0809.

Contact Information

Primary practice address
911 Maryland Ave Martinsburg WV 25401-1727
Fax: (304) 267-0888
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2973 West Virginia

Profile Details

NPI number 1215027164
LBN Legal business name Mcclintock, Deborah Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215027164 NPPES
West Virginia MEDICAID 0132906000

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