Mcklintic, Madison Rae
Mcklintic, Madison Rae is an individual health care provider with primary practice located at 2995 Warrior Ln , Poplar Bluff MO 63901-8600. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mcklintic, Madison Rae can be contacted via phone (573) 712-2902.Contact Information
Primary practice address
2995 Warrior Ln
Poplar Bluff MO 63901-8600
Phone: (573) 712-2902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1871167288 |
|---|---|
| LBN Legal business name | Mcklintic, Madison Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2021 |
| Last updated | May 19th, 2021 - 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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