Ketelaar, David Aloysius

Ketelaar, David Aloysius is an sole proprietor health care provider with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ketelaar, David Aloysius can be contacted via phone (805) 739-3200.

Contact Information

Primary practice address
1400 E Church St Santa Maria CA 93454-5906
Phone: (805) 739-3200
Fax: (805) 739-3064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G77236 California

Profile Details

NPI number 1073543542
LBN Legal business name Ketelaar, David Aloysius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Sep 9th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073543542 NPPES
California MEDICAID 00G772360

Popular Providers