Ketoff, James A

Ketoff, James A is an individual health care provider with primary practice located at 97 Highway 125 , Roanoke Rapids NC 27870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ketoff, James A can be contacted via phone (252) 537-1933.

Contact Information

Primary practice address
97 Highway 125 Roanoke Rapids NC 27870
Phone: (252) 537-1933
Fax: (252) 537-1936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101055976 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 200600242 North Carolina

Profile Details

NPI number 1700801289
LBN Legal business name Ketoff, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 20th, 2022 - about 3 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 1700801289 NPPES
Virginia MEDICAID 7302291

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