Arbuckle, Keith
Arbuckle, Keith is an sole proprietor health care provider with primary practice located at 13949 W Meeker Blvd Ste B , Sun City West AZ 85375. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Arbuckle, Keith can be contacted via phone (602) 675-0478.Contact Information
Primary practice address
13949 W Meeker Blvd Ste B
Sun City West AZ 85375
Phone: (602) 675-0478
Fax: (602) 675-0479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0836 | Arizona |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016005677 | Illinois |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016005677 | Illinois |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD000836 | Arizona |
Profile Details
NPI number | 1073872859 |
---|---|
LBN Legal business name | Arbuckle, Keith |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 14th, 2012 |
Last updated | Nov 6th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073872859 | NPPES |
Illinois | MEDICAID | 016005677 | |
Illinois | MEDICAID | 161742 |
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