Dr. Michael John McIntyre, D.C.
Chiropractor in Penn Yan, NY. Individual provider (NPI-1).
NPI number1164046934
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1164046934
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael John McIntyre
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2020
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | X013370 | NY | Yes |
Practice location
7 Bush Park LnPenn Yan, NY 14527-1727
Phone 315-551-0211
Mailing address
401 Clinton StApt 1
Penn Yan, NY 14527-1385
Phone 315-551-0211
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