Gingerich, Keith Alan
Gingerich, Keith Alan is an individual health care provider with primary practice located at 1001 Sturdy Rd , Valparaiso IN 46383-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gingerich, Keith Alan can be contacted via phone (219) 462-7173.Contact Information
Primary practice address
1001 Sturdy Rd
Valparaiso IN 46383-4126
Phone: (219) 462-7173
Fax: (219) 462-7504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01038826 | Indiana |
Profile Details
| NPI number | 1346211612 |
|---|---|
| LBN Legal business name | Gingerich, Keith Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 17th, 2021 - about 3 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 | 1346211612 | NPPES |
| Indiana | MEDICAID | 100210000A SPEC08 |
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