Carriero, Keenan Sinclair

Carriero, Keenan Sinclair is an individual health care provider with primary practice located at 310 Santa Fe Dr Ste 112 , Encinitas CA 92024-5123. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Carriero, Keenan Sinclair can be contacted via phone (760) 642-7009.

Contact Information

Primary practice address
310 Santa Fe Dr Ste 112 Encinitas CA 92024-5123
Phone: (760) 642-7009
Fax: (760) 230-1453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4509 California

Profile Details

NPI number 1366534075
LBN Legal business name Carriero, Keenan Sinclair
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366534075 NPPES
California Other 03-0431018 TRICARE
California Other ZZZ04918Z TRICARE
California MEDICAID GR0093170 TRICARE

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