Mcintosh, David Michael

Mcintosh, David Michael is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Mcintosh, David Michael can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Phone: (269) 687-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28221256A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704311330 Michigan

Profile Details

NPI number 1770215428
LBN Legal business name Mcintosh, David Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2022
Last updated Aug 15th, 2023 - 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 1770215428 NPPES
Indiana MEDICAID 300067356

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