Mcentire, Michael R

Mcentire, Michael R is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mcentire, Michael R can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-12480 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M-12480 Idaho
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R71475 Arizona

Profile Details

NPI number 1477875094
LBN Legal business name Mcentire, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Feb 9th, 2016 - about 8 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 1477875094 NPPES
Minnesota Other P01021805 RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE

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