Mcclure, Bruce Edward
Mcclure, Bruce Edward is an sole proprietor health care provider with primary practice located at 7800 Central Ave , Landover MD 20785-4807. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mcclure, Bruce Edward can be contacted via phone (301) 333-5150.Contact Information
Primary practice address
7800 Central Ave
Landover MD 20785-4807
Phone: (301) 333-5150
Fax: (301) 333-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 46790 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC0718 | Maryland |
Profile Details
| NPI number | 1649375825 |
|---|---|
| LBN Legal business name | Mcclure, Bruce Edward |
| Credentials | PHD, LCPC,NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649375825 | NPPES |
| Maryland | Other | 11613455 | CAQH ID |
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