Mcgill, Keith William
Mcgill, Keith William is an sole proprietor health care provider with primary practice located at 150 S Pico Ave 14342 Bora Dr La Mirada 90638, Long Beach CA 90802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mcgill, Keith William can be contacted via phone (562) 432-2821.Contact Information
Primary practice address
150 S Pico Ave 14342 Bora Dr La Mirada 90638
Long Beach CA 90802
Phone: (562) 432-2821
Fax: (562) 437-1353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PA11313 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 11313 | California |
Profile Details
| NPI number | 1629169396 |
|---|---|
| LBN Legal business name | Mcgill, Keith William |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 7th, 2008 - about 16 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 | 1629169396 | NPPES |
| California | Other | PA11313 | PHYSICIAN ASST. LICENSE # |
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