Layne, Keith R
Layne, Keith R is an sole proprietor health care provider with primary practice located at 14800 S Western Ave , Moore OK 73170-7112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Layne, Keith R can be contacted via phone (405) 515-0330.Contact Information
Primary practice address
14800 S Western Ave
Moore OK 73170-7112
Phone: (405) 515-0330
Fax: (405) 307-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3364 | Oklahoma |
Profile Details
| NPI number | 1407843212 |
|---|---|
| LBN Legal business name | Layne, Keith R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jun 30th, 2021 - about 5 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 | 1407843212 | NPPES |
| Oklahoma | Other | 4968390000 | DME NUMBER |
| Oklahoma | MEDICAID | 100065040D | DME NUMBER |
| Oklahoma | MEDICAID | 100065040C | DME NUMBER |
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