Lancaster, Keith William

Lancaster, Keith William is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lancaster, Keith William can be contacted via phone (765) 674-4455.

Contact Information

Primary practice address
4411 S Adams St Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05004606A Indiana

Profile Details

NPI number 1447377304
LBN Legal business name Lancaster, Keith William
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1447377304 NPPES
Indiana Other 05004606A PHYSICAL THERAPY LICENSE
Indiana Other 000000352156 PHYSICAL THERAPY LICENSE

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