Mclellan, Bernice

Mclellan, Bernice is an individual health care provider with primary practice located at 1 Tallow Wood Dr Suite 2, Clifton Park NY 12065-2807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mclellan, Bernice can be contacted via phone (518) 373-4555.

Contact Information

Primary practice address
1 Tallow Wood Dr Suite 2 Clifton Park NY 12065-2807
Phone: (518) 373-4555
Fax: (518) 371-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000177 New York

Profile Details

NPI number 1205893385
LBN Legal business name Mclellan, Bernice
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 21st, 2008 - about 18 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 1205893385 NPPES
New York MEDICAID 01213496

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