Mcintyre, Mary Joanna
Mcintyre, Mary Joanna is an individual health care provider with primary practice located at 6505 Market St , Boardman OH 44512-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcintyre, Mary Joanna can be contacted via phone (330) 746-9200.Contact Information
Primary practice address
6505 Market St
Boardman OH 44512-3457
Phone: (330) 746-9200
Fax: (330) 746-9211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 82783 | Ohio |
Profile Details
| NPI number | 1053301424 |
|---|---|
| LBN Legal business name | Mcintyre, Mary Joanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 20th, 2010 - about 14 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 | 1053301424 | NPPES |
| Ohio | MEDICAID | 2500350 |
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