Keith, Robert C
Keith, Robert C is an sole proprietor health care provider with primary practice located at 1900 W 2Nd St Ste B, Elk City OK 73644-4327. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keith, Robert C can be contacted via phone (580) 225-1086.Contact Information
Primary practice address
1900 W 2Nd St Ste B
Elk City OK 73644-4327
Phone: (580) 225-1086
Fax: (580) 225-2429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OK13625 | Oklahoma |
Profile Details
| NPI number | 1790783405 |
|---|---|
| LBN Legal business name | Keith, Robert C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790783405 | NPPES |
| Oklahoma | MEDICAID | 100000160A |
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