Mcintyre, Alex Brian
Mcintyre, Alex Brian is an individual health care provider with primary practice located at 933 Medical Cir , Myrtle Beach SC 29572-4116. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcintyre, Alex Brian can be contacted via phone (843) 497-7772.Contact Information
Primary practice address
933 Medical Cir
Myrtle Beach SC 29572-4116
Phone: (843) 497-7772
Fax: (843) 497-7627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12574 | South Carolina |
Profile Details
| NPI number | 1801808548 |
|---|---|
| LBN Legal business name | Mcintyre, Alex Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 22nd, 2016 - about 9 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 | 1801808548 | NPPES |
| South Carolina | Other | 12574 | SC LICENSE NUMBER |
| South Carolina | Other | 582426964 | SC LICENSE NUMBER |
| South Carolina | Other | 780001419 | SC LICENSE NUMBER |
| South Carolina | Other | 790608T | SC LICENSE NUMBER |
| South Carolina | MEDICAID | 125741 | SC LICENSE NUMBER |
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