Mcintyre, Benjamin C.
Mcintyre, Benjamin C. is an individual health care provider with primary practice located at 2500 N State St Dept Of Surgery, Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Mcintyre, Benjamin C. can be contacted via phone (601) 984-5452.Contact Information
Primary practice address
2500 N State St Dept Of Surgery
Jackson MS 39216-4500
Phone: (601) 984-5452
Fax: (601) 815-3322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 32525 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57007052 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32525 | South Carolina |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 32525 | South Carolina |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 24236 | Mississippi |
Profile Details
| NPI number | 1407067705 |
|---|---|
| LBN Legal business name | Mcintyre, Benjamin C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Oct 4th, 2016 - about 8 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 | 1407067705 | NPPES |
| Mississippi | MEDICAID | 00173530 | |
| Mississippi | MEDICAID | 189604 | |
| Mississippi | MEDICAID | 325259 | |
| Mississippi | Other | AA74671955 | |
| Mississippi | Other | P01702551 |
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