Mcclure, Simon
Mcclure, Simon is an individual health care provider with primary practice located at 1160 Johnson Ave Suite 105, Bridgeport WV 26330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcclure, Simon can be contacted via phone (304) 842-9084.Contact Information
Primary practice address
1160 Johnson Ave Suite 105
Bridgeport WV 26330
Phone: (304) 842-9084
Fax: (304) 842-9085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17045 | West Virginia |
Profile Details
| NPI number | 1386677813 |
|---|---|
| LBN Legal business name | Mcclure, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 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 | 1386677813 | NPPES |
| West Virginia | MEDICAID | 0115260000 |
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