Donald, Keith Phillip
Donald, Keith Phillip is an sole proprietor health care provider with primary practice located at 5196 Hill Rd E Suite 201, Lakeport CA 95453-6360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Donald, Keith Phillip can be contacted via phone (707) 263-4108.Contact Information
Primary practice address
5196 Hill Rd E Suite 201
Lakeport CA 95453-6360
Phone: (707) 263-4108
Fax: (707) 263-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G76641 | California |
Profile Details
| NPI number | 1285768234 |
|---|---|
| LBN Legal business name | Donald, Keith Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285768234 | NPPES |
| California | MEDICAID | 00G766411 |
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