Mcclung, Glen Alan

Mcclung, Glen Alan is an individual health care provider with primary practice located at 6480 Harrison Ave Suite 201, Cincinnati OH 45247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcclung, Glen Alan can be contacted via phone (513) 354-3700.

Contact Information

Primary practice address
6480 Harrison Ave Suite 201 Cincinnati OH 45247
Phone: (513) 354-3700
Fax: (513) 354-7651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X TP803 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35087210 Ohio

Profile Details

NPI number 1467403279
LBN Legal business name Mcclung, Glen Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 4th, 2022 - about 3 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 1467403279 NPPES
Kentucky MEDICAID 64113525

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