Mcintyre, Brock Jerod
Mcintyre, Brock Jerod is an individual health care provider with primary practice located at 7840 Vinewood Ln N , Maple Grove MN 55369-7185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcintyre, Brock Jerod can be contacted via phone (763) 236-0200.Contact Information
Primary practice address
7840 Vinewood Ln N
Maple Grove MN 55369-7185
Phone: (763) 236-0200
Fax: (612) 420-5531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46044 | Minnesota |
Profile Details
| NPI number | 1467413096 |
|---|---|
| LBN Legal business name | Mcintyre, Brock Jerod |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 10th, 2020 - about 4 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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