Lara, William Keith
Lara, William Keith is an individual health care provider with primary practice located at 310 Sunnyview Ln Emergency Dept, Kalispell MT 59901-3129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lara, William Keith can be contacted via phone (406) 752-1708.Contact Information
Primary practice address
310 Sunnyview Ln Emergency Dept
Kalispell MT 59901-3129
Phone: (406) 752-1708
Fax: (406) 755-0971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7809 | Montana |
Profile Details
| NPI number | 1336186337 |
|---|---|
| LBN Legal business name | Lara, William Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336186337 | NPPES |
| Montana | MEDICAID | 152677 | |
| Montana | Other | 93206 |
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