Keys, Clyde A.
Keys, Clyde A. is an sole proprietor health care provider with primary practice located at 340 Nw Medical Loop , Roseburg OR 97471-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keys, Clyde A. can be contacted via phone (541) 677-6599.Contact Information
Primary practice address
340 Nw Medical Loop
Roseburg OR 97471-1645
Phone: (541) 677-6599
Fax: (547) 677-6576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18437 | Oregon |
Profile Details
| NPI number | 1952300881 |
|---|---|
| LBN Legal business name | Keys, Clyde A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Dec 30th, 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 | 1952300881 | NPPES |
| Oregon | MEDICAID | 056957 | |
| Oregon | Other | R0000WCYBS |
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