Mcintosh, Gwenevere Charles
Mcintosh, Gwenevere Charles is an individual health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcintosh, Gwenevere Charles can be contacted via phone (608) 265-1295.Contact Information
Primary practice address
5249 E Terrace Dr
Madison WI 53718
Phone: (608) 265-1295
Fax: (608) 265-0935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42577 | Wisconsin |
Profile Details
| NPI number | 1487620647 |
|---|---|
| LBN Legal business name | Mcintosh, Gwenevere Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jan 12th, 2021 - about 5 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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