Mcintosh, Judith

Mcintosh, Judith is an individual health care provider with primary practice located at 513 W Lincoln Rd , Kokomo IN 46902-3418. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mcintosh, Judith can be contacted via phone (765) 453-7702.

Contact Information

Primary practice address
513 W Lincoln Rd Kokomo IN 46902-3418
Phone: (765) 453-7702
Fax: (765) 453-7825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28069569A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003759A Indiana

Profile Details

NPI number 1073893954
LBN Legal business name Mcintosh, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2011
Last updated Aug 4th, 2021 - about 3 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 1073893954 NPPES
Indiana MEDICAID 201038600
Indiana Other 000000735838

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