Mcintosh, Lisa M
Mcintosh, Lisa M is an sole proprietor health care provider with primary practice located at 2292 Dalton Dr Ste C , Clarksville TN 37043-8961. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mcintosh, Lisa M can be contacted via phone (931) 645-5595.Contact Information
Primary practice address
2292 Dalton Dr Ste C
Clarksville TN 37043-8961
Phone: (931) 645-5595
Fax: (931) 645-5596
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD 029433 | Tennessee |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 029433 | Tennessee |
Profile Details
NPI number | 1407941578 |
---|---|
LBN Legal business name | Mcintosh, Lisa M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Apr 19th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407941578 | NPPES |
Tennessee | Other | 1477866820 | NPI GROUP |
Tennessee | Other | 1952792111 | NPI GROUP |
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