Keith, Philip A

Keith, Philip A is an individual health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Keith, Philip A can be contacted via phone (920) 361-5524.

Contact Information

Primary practice address
225 Memorial Dr Berlin WI 54923-1243
Phone: (920) 361-5524
Fax: (920) 361-5486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47873-020 Wisconsin

Profile Details

NPI number 1831275890
LBN Legal business name Keith, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Oct 24th, 2014 - about 11 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 1831275890 NPPES
Wisconsin MEDICAID 1831275890

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