Ketron, John
Ketron, John is an individual health care provider with primary practice located at 11840 Southmore Dr Suite 200, Charlotte NC 28277-4466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ketron, John can be contacted via phone (704) 384-1166.Contact Information
Primary practice address
11840 Southmore Dr Suite 200
Charlotte NC 28277-4466
Phone: (704) 384-1166
Fax: (704) 384-1181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29932 | North Carolina |
Profile Details
| NPI number | 1558334987 |
|---|---|
| LBN Legal business name | Ketron, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 19th, 2015 - about 10 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 | 1558334987 | NPPES |
| North Carolina | MEDICAID | 8948792 |
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