Mcintosh, Shirley Ann

Mcintosh, Shirley Ann is an individual health care provider with primary practice located at 8440 Market St , Boardman OH 44512-6703. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mcintosh, Shirley Ann can be contacted via phone (330) 965-9999.

Contact Information

Primary practice address
8440 Market St Boardman OH 44512-6703
Phone: (330) 965-9999
Fax: (330) 757-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA10568 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.10568 Ohio

Profile Details

NPI number 1174762140
LBN Legal business name Mcintosh, Shirley Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2009
Last updated Apr 19th, 2018 - about 7 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 1174762140 NPPES
Ohio MEDICAID 0052158

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