Mcintosh, Max Marie
Mcintosh, Max Marie is an sole proprietor health care provider with primary practice located at 2910 Briarcliff Rd Suite B, Winston-Salem NC 27106-3077. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mcintosh, Max Marie can be contacted via phone (336) 682-3519.Contact Information
Primary practice address
2910 Briarcliff Rd Suite B
Winston-Salem NC 27106-3077
Phone: (336) 682-3519
Fax: (336) 773-0332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4102 | North Carolina |
Profile Details
| NPI number | 1972547941 |
|---|---|
| LBN Legal business name | Mcintosh, Max Marie |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972547941 | NPPES |
| North Carolina | MEDICAID | 6103082 | |
| North Carolina | Other | 67403 | |
| North Carolina | Other | 4102 |
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