Dockery, Keith F
Dockery, Keith F is an individual health care provider with primary practice located at 20 Franklin Tpke , Waldwick NJ 07463-1749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dockery, Keith F can be contacted via phone (201) 445-8822.Contact Information
Primary practice address
20 Franklin Tpke
Waldwick NJ 07463-1749
Phone: (201) 445-8822
Fax: (201) 815-2078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 244698 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA09089800 | New Jersey |
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 25MA09089800 | New Jersey |
Profile Details
| NPI number | 1972512754 |
|---|---|
| LBN Legal business name | Dockery, Keith F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jun 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972512754 | NPPES |
| New Jersey | MEDICAID | 0297453 |
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