Macintosh, Bette A.

Macintosh, Bette A. is an individual health care provider with primary practice located at 710 N 8Th St , Springfield IL 62702-6324. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Macintosh, Bette A. can be contacted via phone (217) 588-7717.

Contact Information

Primary practice address
710 N 8Th St Springfield IL 62702-6324
Phone: (217) 588-7717
Fax: (217) 525-1503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036097132 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036097132 Illinois

Profile Details

NPI number 1215996483
LBN Legal business name Macintosh, Bette A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 4th, 2020 - about 5 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 1215996483 NPPES
Illinois MEDICAID 036097132

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