Meetze, Keith Adam
Meetze, Keith Adam is an individual health care provider with primary practice located at 140 Gateway Blvd , Mooresville NC 28117-5540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Meetze, Keith Adam can be contacted via phone (704) 664-9638.Contact Information
Primary practice address
140 Gateway Blvd
Mooresville NC 28117-5540
Phone: (704) 664-9638
Fax: (704) 664-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 200400386 | North Carolina |
Profile Details
| NPI number | 1407927759 |
|---|---|
| LBN Legal business name | Meetze, Keith Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jun 25th, 2013 - about 12 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 | 1407927759 | NPPES |
| North Carolina | MEDICAID | 5912716 | |
| North Carolina | MEDICAID | 5913652 |
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