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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760466049 | NPPES |
| Michigan | MEDICAID | 3500119 |
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