Individual
JERRY L MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
(308) 432-4446
Mailing address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
(308) 432-4446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18550
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04183
BLUE SHIELD PROVIDER #
NE
Enumeration date
11/21/2005
Last updated
07/09/2010
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