Casper, Keith Andrew

Casper, Keith Andrew is an individual health care provider with primary practice located at 1500 E Medical Center Drive 1St Floor Taubman Ctr Recp A, Ann Arbor MI 48109-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Casper, Keith Andrew can be contacted via phone (734) 936-8051.

Contact Information

Primary practice address
1500 E Medical Center Drive 1St Floor Taubman Ctr Recp A Ann Arbor MI 48109-5312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35093032 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301091474 Michigan

Profile Details

NPI number 1932310224
LBN Legal business name Casper, Keith Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jul 17th, 2015 - about 9 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 1932310224 NPPES
Indiana MEDICAID 200954230
Indiana MEDICAID 2956556
Indiana Other 4267123
Indiana MEDICAID 7100080700

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