Jeffrey, Keith A

Jeffrey, Keith A is an individual health care provider with primary practice located at 2000 Mowry Ave Suite A, Fremont CA 94538-1716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jeffrey, Keith A can be contacted via phone (510) 818-7200.

Contact Information

Primary practice address
2000 Mowry Ave Suite A Fremont CA 94538-1716
Phone: (510) 818-7200
Fax: (510) 742-9334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16317 California

Profile Details

NPI number 1164461745
LBN Legal business name Jeffrey, Keith A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 4th, 2022 - 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.

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