Provider Demographics
NPI:1649872532
Name:MCINTOSH, DENISE WILLIAMS
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:WILLIAMS
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 EIGHT MILE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4732
Mailing Address - Country:US
Mailing Address - Phone:513-373-6029
Mailing Address - Fax:
Practice Address - Street 1:989 EIGHT MILE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4732
Practice Address - Country:US
Practice Address - Phone:513-373-6029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty