Mcintyre, Carol L

Mcintyre, Carol L is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcintyre, Carol L can be contacted via phone (660) 562-2525.

Contact Information

Primary practice address
2016 S Main St Maryville MO 64468-2655
Phone: (660) 562-2525
Fax: (660) 562-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 3559 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 410 Nebraska
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2011035210 Missouri

Profile Details

NPI number 1649223728
LBN Legal business name Mcintyre, Carol L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 8th, 2013 - about 11 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 1649223728 NPPES
Missouri MEDICAID 1649223728

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