Mcintyre, Alex Brian

Mcintyre, Alex Brian is an individual health care provider with primary practice located at 933 Medical Cir , Myrtle Beach SC 29572-4116. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcintyre, Alex Brian can be contacted via phone (843) 497-7772.

Contact Information

Primary practice address
933 Medical Cir Myrtle Beach SC 29572-4116
Phone: (843) 497-7772
Fax: (843) 497-7627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12574 South Carolina

Profile Details

NPI number 1801808548
LBN Legal business name Mcintyre, Alex Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jun 22nd, 2016 - about 10 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 1801808548 NPPES
South Carolina Other 12574 SC LICENSE NUMBER
South Carolina Other 582426964 SC LICENSE NUMBER
South Carolina Other 780001419 SC LICENSE NUMBER
South Carolina Other 790608T SC LICENSE NUMBER
South Carolina MEDICAID 125741 SC LICENSE NUMBER

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