Mcintire, Mary Ellen
Mcintire, Mary Ellen is an individual health care provider with primary practice located at 111 W Cedar Ln Ste A , Payson AZ 85541-5417. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcintire, Mary Ellen can be contacted via phone (928) 472-4675.Contact Information
Primary practice address
111 W Cedar Ln Ste A
Payson AZ 85541-5417
Phone: (928) 472-4675
Fax: (928) 472-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47600 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 36832 | Tennessee |
Profile Details
| NPI number | 1982634028 |
|---|---|
| LBN Legal business name | Mcintire, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 3rd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982634028 | NPPES |
| Arizona | MEDICAID | 863437 | |
| Arizona | Other | 31273 | |
| Arizona | MEDICAID | 3891205 | |
| Arizona | Other | P00183551 |
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