Mcintire, Philip S.

Mcintire, Philip S. is an individual health care provider with primary practice located at 800 W Jefferson St Fl 2 , Kirksville MO 63501-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcintire, Philip S. can be contacted via phone (660) 665-4432.

Contact Information

Primary practice address
800 W Jefferson St Fl 2 Kirksville MO 63501-1443
Fax: (660) 956-4392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R5E68 Missouri

Profile Details

NPI number 1154454916
LBN Legal business name Mcintire, Philip S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 29th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154454916 NPPES
Missouri MEDICAID 242064517

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