Mcintosh, Lisa J

Mcintosh, Lisa J is an sole proprietor health care provider with primary practice located at 5716 Michigan Ave , Detroit MI 48210-3039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcintosh, Lisa J can be contacted via phone (313) 554-1095.

Contact Information

Primary practice address
5716 Michigan Ave Detroit MI 48210-3039
Phone: (313) 554-1095
Fax: (313) 899-3560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301052024 Michigan

Profile Details

NPI number 1205827573
LBN Legal business name Mcintosh, Lisa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Mar 23rd, 2023 - 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 1205827573 NPPES
Michigan MEDICAID 3223799

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