Mcintire, Larry Douglas

Mcintire, Larry Douglas is an individual health care provider with primary practice located at 1331 W 32Nd St , Joplin MO 64804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Mcintire, Larry Douglas can be contacted via phone (417) 347-6767.

Contact Information

Primary practice address
1331 W 32Nd St Joplin MO 64804
Phone: (417) 347-6767
Fax: (417) 347-3170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 33563 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0526146 Kansas
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 22386 Oklahoma

Profile Details

NPI number 1164402046
LBN Legal business name Mcintire, Larry Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 8th, 2011 - about 13 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 1164402046 NPPES
Missouri MEDICAID 241195528
Missouri Other 9054

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