Hutchinson, Keith B
Hutchinson, Keith B is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Hutchinson, Keith B can be contacted via phone (928) 773-0003.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001
Phone: (928) 773-0003
Fax: (928) 773-1170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2003-0715 | New Mexico |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 50304 | Arizona |
Profile Details
NPI number | 1588615173 |
---|---|
LBN Legal business name | Hutchinson, Keith B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | May 15th, 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 | 1588615173 | NPPES |
Arizona | MEDICAID | 660740 | |
Arizona | MEDICAID | 93839871 |
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