Keith, Carolyn J
Keith, Carolyn J is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684-7331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Keith, Carolyn J can be contacted via phone (231) 935-5770.Contact Information
Primary practice address
4100 Park Forest Dr Suite 210
Traverse City MI 49684-7331
Phone: (231) 935-5770
Fax: (231) 935-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301048726 | Michigan |
Profile Details
| NPI number | 1851380497 |
|---|---|
| LBN Legal business name | Keith, Carolyn J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Apr 10th, 2015 - about 9 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 | 1851380497 | NPPES |
| Michigan | MEDICAID | 1851380497 |
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