Dinklage, Keith

Dinklage, Keith is an individual health care provider with primary practice located at 1685 S Spiceland Rd , New Castle IN 47362-8954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dinklage, Keith can be contacted via phone (765) 529-4090.

Contact Information

Primary practice address
1685 S Spiceland Rd New Castle IN 47362-8954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01041007 Indiana

Profile Details

NPI number 1538243498
LBN Legal business name Dinklage, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 20th, 2014 - about 10 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 1538243498 NPPES
Indiana Other 000000191328 BC/BS
Indiana MEDICAID 200056320B BC/BS

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