Keith, Ian
Keith, Ian is an individual health care provider with primary practice located at 1400 Medical Campus Dr , Traverse City MI 49684-7823. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Keith, Ian can be contacted via phone (231) 935-8000.Contact Information
Primary practice address
1400 Medical Campus Dr
Traverse City MI 49684-7823
Phone: (231) 935-8000
Fax: (231) 935-8099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5151015679 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5151015679 | Michigan |
Profile Details
| NPI number | 1699417253 |
|---|---|
| LBN Legal business name | Keith, Ian |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2022 |
| Last updated | Apr 15th, 2024 - about last year |
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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