Johnstone, Keith Angelo

Johnstone, Keith Angelo is an sole proprietor health care provider with primary practice located at 26206 W 12 Mile Rd Suite 201, Southfield MI 48034-1754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Johnstone, Keith Angelo can be contacted via phone (248) 355-4545.

Contact Information

Primary practice address
26206 W 12 Mile Rd Suite 201 Southfield MI 48034-1754
Phone: (248) 355-4545
Fax: (248) 355-3855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301048096 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301048096 Michigan

Profile Details

NPI number 1760466049
LBN Legal business name Johnstone, Keith Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Apr 15th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760466049 NPPES
Michigan MEDICAID 3500119

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