Mussog, Keith

Mussog, Keith is an individual health care provider with primary practice located at 13154 Coit Rd , Dallas TX 75240-5773. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Mussog, Keith can be contacted via phone (443) 235-4991.

Contact Information

Primary practice address
13154 Coit Rd Dallas TX 75240-5773
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 96693 Texas

Profile Details

NPI number 1992132609
LBN Legal business name Mussog, Keith
Credentials RT (R)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2013
Last updated Aug 16th, 2016 - about 8 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 1992132609 NPPES
Other 457059 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST
Other 96693 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST

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