Danckaert, Keith Bryan

Danckaert, Keith Bryan is an individual health care provider with primary practice located at 4020 New Vision Dr , Fort Wayne IN 46845-1737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Danckaert, Keith Bryan can be contacted via phone (260) 423-2567.

Contact Information

Primary practice address
4020 New Vision Dr Fort Wayne IN 46845-1737
Phone: (260) 423-2567
Fax: (260) 420-2415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01042415A Indiana
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01042415A Indiana

Profile Details

NPI number 1497787659
LBN Legal business name Danckaert, Keith Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 16th, 2021 - about 3 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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