Lonergan, Keith Thomas

Lonergan, Keith Thomas is an individual health care provider with primary practice located at 315 Medical Pkwy Suite 100, Greer SC 29650-2456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lonergan, Keith Thomas can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
315 Medical Pkwy Suite 100 Greer SC 29650-2456
Phone: (864) 454-7422
Fax: (864) 797-9701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30396 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 30396 South Carolina

Profile Details

NPI number 1104962703
LBN Legal business name Lonergan, Keith Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 10th, 2022 - about 3 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 1104962703 NPPES
South Carolina MEDICAID G51248
South Carolina Other P00607534
South Carolina Other 576007863179

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