Provider Demographics
NPI:1194042374
Name:DEBBI MCINTEER MD LLC
Entity Type:Organization
Organization Name:DEBBI MCINTEER MD LLC
Other - Org Name:DEBBI MCINTEER, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT (SOLE MEMBER)
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCINTEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-885-7700
Mailing Address - Street 1:1050 MAIN STREET
Mailing Address - Street 2:SUITE 24
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-885-7700
Mailing Address - Fax:401-398-7705
Practice Address - Street 1:1050 MAIN STREET
Practice Address - Street 2:SUITE 24
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818
Practice Address - Country:US
Practice Address - Phone:401-885-7700
Practice Address - Fax:401-398-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD092752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7009045Medicaid
RI7009045Medicaid
RI007009045Medicare PIN