Keating, James William

Keating, James William is an individual health care provider with primary practice located at 4320 15Th St Suite A, Gulfport MS 39501-2524. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keating, James William can be contacted via phone (228) 864-4392.

Contact Information

Primary practice address
4320 15Th St Suite A Gulfport MS 39501-2524
Fax: (228) 868-7103
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04077R Louisiana

Profile Details

NPI number 1972565489
LBN Legal business name Keating, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 15th, 2010 - about 15 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 1972565489 NPPES
Mississippi MEDICAID 08920325

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