Eskanos, Keith
Eskanos, Keith is an sole proprietor health care provider with primary practice located at 3103 Clearwater Dr Suite B, Prescott AZ 86305-7165. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Eskanos, Keith can be contacted via phone (928) 237-6456.Contact Information
Primary practice address
3103 Clearwater Dr Suite B
Prescott AZ 86305-7165
Phone: (928) 237-6456
Fax: (928) 777-3209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6419 | Arizona |
Profile Details
| NPI number | 1821024449 |
|---|---|
| LBN Legal business name | Eskanos, Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Sep 27th, 2012 - about 12 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 | 1821024449 | NPPES |
| Arizona | MEDICAID | 920315 | |
| Arizona | Other | AZ0415100 |
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