Mcintyre, Brenda L
Mcintyre, Brenda L is an sole proprietor health care provider with primary practice located at 609 N Trenton St , Ruston LA 71270-3840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcintyre, Brenda L can be contacted via phone (318) 255-4112.Contact Information
Primary practice address
609 N Trenton St
Ruston LA 71270-3840
Phone: (318) 255-4112
Fax: (318) 251-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00042179 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD202561 | Louisiana |
Profile Details
| NPI number | 1801838966 |
|---|---|
| LBN Legal business name | Mcintyre, Brenda L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 8th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801838966 | NPPES |
| Louisiana | MEDICAID | 1343072 |
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