Mcleod, Mettisa R. K.

Mcleod, Mettisa R. K. is an individual health care provider with primary practice located at 501 Belt Line Rd Suite 20-D, Collinsville IL 62234-4410. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcleod, Mettisa R. K. can be contacted via phone (618) 343-6005.

Contact Information

Primary practice address
501 Belt Line Rd Suite 20-D Collinsville IL 62234-4410
Phone: (618) 343-6005
Fax: (618) 343-9114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036113800 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036113800 Illinois
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036113800 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036113800 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036113800 Illinois

Profile Details

NPI number 1235245481
LBN Legal business name Mcleod, Mettisa R. K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 5th, 2015 - 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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