Mclellan, Dan Patrick
Mclellan, Dan Patrick is an sole proprietor health care provider with primary practice located at 5520 N Fork Ct , Boulder CO 80301-3548. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Mclellan, Dan Patrick can be contacted via phone (303) 817-5055.Contact Information
Primary practice address
5520 N Fork Ct
Boulder CO 80301-3548
Phone: (303) 817-5055
Fax: (303) 530-5285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1821141896 |
|---|---|
| LBN Legal business name | Mclellan, Dan Patrick |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821141896 | NPPES |
| Colorado | MEDICAID | 05322839 |
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