Macintyre, Susan M
Macintyre, Susan M is an sole proprietor health care provider with primary practice located at 739 W Portobello Ave , Mesa AZ 85210-8345. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Macintyre, Susan M can be contacted via phone (520) 416-4395.Contact Information
Primary practice address
739 W Portobello Ave
Mesa AZ 85210-8345
Phone: (520) 416-4395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19138 | Montana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18122 | Arizona |
Profile Details
| NPI number | 1265976625 |
|---|---|
| LBN Legal business name | Macintyre, Susan M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2016 |
| Last updated | Jul 17th, 2020 - about 6 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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