Bangart, Keith Thomas

Bangart, Keith Thomas is an individual health care provider with primary practice located at 13660 N 94Th Dr #F1, Peoria AZ 85381-4836. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bangart, Keith Thomas can be contacted via phone (623) 974-0522.

Contact Information

Primary practice address
13660 N 94Th Dr #F1 Peoria AZ 85381-4836
Phone: (623) 974-0522
Fax: (623) 933-5787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0724 Arizona

Profile Details

NPI number 1013216373
LBN Legal business name Bangart, Keith Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013216373 NPPES
Arizona Other 0724 LICENSE #
Arizona Other 6647440001 LICENSE #

Popular Providers