Ferris, Keith M
Ferris, Keith M is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ferris, Keith M can be contacted via phone (419) 291-5318.Contact Information
Primary practice address
2142 N Cove Blvd
Toledo OH 43606-3895
Phone: (419) 291-5318
Fax: (419) 291-6430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50001382 | Ohio |
Profile Details
| NPI number | 1144228925 |
|---|---|
| LBN Legal business name | Ferris, Keith M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Nov 3rd, 2023 - about last year |
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 | 1144228925 | NPPES |
| Ohio | MEDICAID | 0070822 |
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