Mclean, Clinton Runnells
Mclean, Clinton Runnells is an sole proprietor health care provider with primary practice located at 880 Bridgeport Ave , Shelton CT 06484-4625. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mclean, Clinton Runnells can be contacted via phone (203) 929-4030.Contact Information
Primary practice address
880 Bridgeport Ave
Shelton CT 06484-4625
Phone: (203) 929-4030
Fax: (203) 929-9662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 904 | Connecticut |
Profile Details
| NPI number | 1801995543 |
|---|---|
| LBN Legal business name | Mclean, Clinton Runnells |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 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 | 1801995543 | NPPES |
| Connecticut | Other | 090000904CT01 | ANTHEM BCBS |
| Connecticut | Other | 904000-4749 | ANTHEM BCBS |
| Connecticut | Other | 4271642 | ANTHEM BCBS |
| Connecticut | Other | 0248660001 | ANTHEM BCBS |
| Connecticut | Other | P606621 | ANTHEM BCBS |
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