Georgeson, Keith E
Georgeson, Keith E is an individual health care provider with primary practice located at 101 W 8Th Ave Suite 100 L-1, Spokane WA 99204-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Georgeson, Keith E can be contacted via phone (509) 474-5445.Contact Information
Primary practice address
101 W 8Th Ave Suite 100 L-1
Spokane WA 99204-2307
Phone: (509) 474-5445
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11841 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD60183442 | Washington |
Profile Details
| NPI number | 1407890510 |
|---|---|
| LBN Legal business name | Georgeson, Keith E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 28th, 2017 - about 8 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 | 1407890510 | NPPES |
| Alabama | MEDICAID | 000014166 | |
| Alabama | Other | 051523114 | |
| Alabama | MEDICAID | 009961775 | |
| Alabama | Other | 000014166 | |
| Alabama | MEDICAID | 009946695 | |
| Alabama | Other | 051520177 | |
| Alabama | Other | 37862742A | |
| Alabama | Other | A40463 | |
| Alabama | Other | A40463 | |
| Alabama | Other | 00122960 |
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