Mcintosh, Cooper A

Mcintosh, Cooper A is an individual health care provider with primary practice located at 551 Azalea Dr , Oxford MS 38655-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcintosh, Cooper A can be contacted via phone (662) 234-0332.

Contact Information

Primary practice address

551 Azalea Dr Oxford MS 38655-7900

Phone: (662) 234-0332

Fax: (662) 234-2891

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Internal Medicine	207R00000X	13540	Mississippi

Profile Details

NPI number	1780791004
LBN Legal business name	Mcintosh, Cooper A
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 23rd, 2006
Last updated	Jul 15th, 2008 - about 16 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

State	Type	Number	Issuer
All States	NPI	1780791004	NPPES
Mississippi	Other	64-0606089	EMPLOYER IDENTIFICATION #
Mississippi	MEDICAID	115368	EMPLOYER IDENTIFICATION #

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