Mcintyre, Brenda L

Mcintyre, Brenda L is an sole proprietor health care provider with primary practice located at 609 N Trenton St , Ruston LA 71270-3840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcintyre, Brenda L can be contacted via phone (318) 255-4112.

Contact Information

Primary practice address
609 N Trenton St Ruston LA 71270-3840
Phone: (318) 255-4112
Fax: (318) 251-8727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00042179 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD202561 Louisiana

Profile Details

NPI number 1801838966
LBN Legal business name Mcintyre, Brenda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jan 8th, 2017 - about 9 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 1801838966 NPPES
Louisiana MEDICAID 1343072

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