Keith, Mark Abraham

Keith, Mark Abraham is an individual health care provider with primary practice located at 4907 Boone Trail Road Independence Unlimited, Duffield VA 28244. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Keith, Mark Abraham can be contacted via phone (276) 431-4473.

Contact Information

Primary practice address
4907 Boone Trail Road Independence Unlimited Duffield VA 28244
Phone: (276) 431-4473
Fax: (276) 431-4484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1316062342
LBN Legal business name Keith, Mark Abraham
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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