Mcintosh, Trisha Elizabeth

Mcintosh, Trisha Elizabeth is an individual health care provider with primary practice located at 1236 E Rusholme St Suite 300, Davenport IA 52803-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mcintosh, Trisha Elizabeth can be contacted via phone (563) 324-2992.

Contact Information

Primary practice address
1236 E Rusholme St Suite 300 Davenport IA 52803-2473
Phone: (563) 324-2992
Fax: (563) 888-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X L087413 Iowa

Profile Details

NPI number 1417067398
LBN Legal business name Mcintosh, Trisha Elizabeth
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 11th, 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 1417067398 NPPES
Iowa Other 05286 WELLMARK BCBS OF IOWA
Iowa Other P00282085 WELLMARK BCBS OF IOWA
Iowa MEDICAID 0487967 WELLMARK BCBS OF IOWA

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