Mcintire, Alicia Marie

Mcintire, Alicia Marie is an individual health care provider with primary practice located at 995 Willagillespie Rd # 100 , Eugene OR 97401-2186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcintire, Alicia Marie can be contacted via phone (541) 484-5443.

Contact Information

Primary practice address
995 Willagillespie Rd # 100 Eugene OR 97401-2186
Phone: (541) 484-5443
Fax: (541) 687-5621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201050068NP Oregon

Profile Details

NPI number 1972814440
LBN Legal business name Mcintire, Alicia Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Oct 27th, 2017 - 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 1972814440 NPPES
Oregon Other 201050068NP STATE OF OREGON

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