Ketchum, Lloyd Howard

Ketchum, Lloyd Howard is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Ketchum, Lloyd Howard can be contacted via phone (218) 786-3625.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-3625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 48933 Minnesota
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 48933 Minnesota
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 49571-20 Wisconsin
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 49571-20 Wisconsin

Profile Details

NPI number 1164465191
LBN Legal business name Ketchum, Lloyd Howard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 12th, 2011 - about 13 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 1164465191 NPPES
Wisconsin MEDICAID 34880100
Wisconsin MEDICAID 985908000

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