Mcintosh, Josephine M

Mcintosh, Josephine M is an individual health care provider with primary practice located at 2430 E Mason St , Green Bay WI 54302-3759. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcintosh, Josephine M can be contacted via phone (920) 445-7377.

Contact Information

Primary practice address
2430 E Mason St Green Bay WI 54302-3759
Phone: (920) 445-7377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R19389 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R090749-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-122356 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4055 Wisconsin

Profile Details

NPI number 1881797462
LBN Legal business name Mcintosh, Josephine M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 8th, 2016 - about 9 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 1881797462 NPPES
Minnesota Other P1200504 RR MEDICARE
Minnesota Other 15689 RR MEDICARE
Minnesota MEDICAID 19534 RR MEDICARE
Minnesota MEDICAID 0076372 RR MEDICARE

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