Provider Demographics
NPI:1083676316
Name:MCLARRIN, MICHAEL (HSC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MCLARRIN
Suffix:
Gender:M
Credentials:HSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 STEDMAN ST
Mailing Address - Street 2:HEALTH SERVICES CLINIC
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6661
Mailing Address - Country:US
Mailing Address - Phone:907-228-0351
Mailing Address - Fax:907-228-0332
Practice Address - Street 1:1300 STEDMAN ST
Practice Address - Street 2:HEALTH SERVICES CLINIC
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-6661
Practice Address - Country:US
Practice Address - Phone:907-228-0351
Practice Address - Fax:907-228-0332
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other