Mcintosh, Charles
Mcintosh, Charles is an sole proprietor health care provider with primary practice located at 405 W. Grand Avenue , Dayton OH 45405-4796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mcintosh, Charles can be contacted via phone (937) 723-3210.Contact Information
Primary practice address
405 W. Grand Avenue
Dayton OH 45405-4796
Phone: (937) 723-3210
Fax: (937) 748-1407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34004666 | Ohio |
Profile Details
| NPI number | 1215080049 |
|---|---|
| LBN Legal business name | Mcintosh, Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 27th, 2008 - about 17 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 | 1215080049 | NPPES |
| Ohio | MEDICAID | 0820857 | |
| Ohio | Other | P00195301 | |
| Ohio | Other | 000000032022 |
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