Mcleod, Mettisa R. K.
Mcleod, Mettisa R. K. is an individual health care provider with primary practice located at 501 Belt Line Rd Suite 20-D, Collinsville IL 62234-4410. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcleod, Mettisa R. K. can be contacted via phone (618) 343-6005.Contact Information
Primary practice address
501 Belt Line Rd Suite 20-D
Collinsville IL 62234-4410
Phone: (618) 343-6005
Fax: (618) 343-9114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 036113800 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036113800 | Illinois |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 036113800 | Illinois |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 036113800 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 036113800 | Illinois |
Profile Details
NPI number | 1235245481 |
---|---|
LBN Legal business name | Mcleod, Mettisa R. K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Jun 5th, 2015 - about 9 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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