Raiche, Miranda Mcintyre
Raiche, Miranda Mcintyre is an individual health care provider with primary practice located at 529 Jasmine St , Omak WA 98841-9589. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raiche, Miranda Mcintyre can be contacted via phone (509) 826-1600.Contact Information
Primary practice address
529 Jasmine St
Omak WA 98841-9589
Phone: (509) 826-1600
Fax: (509) 826-3633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00046640 | Washington |
Profile Details
| NPI number | 1275560781 |
|---|---|
| LBN Legal business name | Raiche, Miranda Mcintyre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 6th, 2017 - about 7 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 | 1275560781 | NPPES |
| Washington | MEDICAID | 8457434 | |
| Washington | Other | 0211040 |
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