Mcintosh, Charles B.

Mcintosh, Charles B. is an sole proprietor health care provider with primary practice located at 3160 Edgewood Ave W , Jacksonville FL 32209-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mcintosh, Charles B. can be contacted via phone (904) 765-5804.

Contact Information

Primary practice address
3160 Edgewood Ave W Jacksonville FL 32209-2245
Phone: (904) 765-5804
Fax: (904) 765-0958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0006612 Florida

Profile Details

NPI number 1336252444
LBN Legal business name Mcintosh, Charles B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336252444 NPPES
Florida Other 0932138002 CIGNA
Florida Other 13123 CIGNA
Florida Other 1055089 CIGNA
Florida Other 16450 CIGNA
Florida Other 16450 CIGNA
Florida Other 4047696 CIGNA

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