Haidet, Keith Richard

Haidet, Keith Richard is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Haidet, Keith Richard can be contacted via phone (717) 531-4935.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD032871E Pennsylvania

Profile Details

NPI number 1356337414
LBN Legal business name Haidet, Keith Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 10th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356337414 NPPES
Pennsylvania Other 300067157 RAILROAD MEDICARE
Pennsylvania MEDICAID 001158913 RAILROAD MEDICARE

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