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Contact Information

MCLEAN & D G CLINIC
104 E 16TH ST
HOPE, AR71801-7424
 Phone: 870-777-0007
 Fax: 870-777-0061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MCLEAN D G CLINIC · (Female)

NPI # 1619036498
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2006
Last updated 06/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # A01251
  • AR Medicaid 102612001
  • AR Other 5T414 ARKANSAS BCBS
  • AR Other 14169000002 QUALCHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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