Newman, Keith M

Newman, Keith M is an sole proprietor health care provider with primary practice located at 700 West Pike St Suite 200, Clarksburg WV 26301-2629. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Newman, Keith M can be contacted via phone (304) 624-6821.

Contact Information

Primary practice address
700 West Pike St Suite 200 Clarksburg WV 26301-2629
Phone: (304) 624-6821
Fax: (304) 624-6840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X WV00232 West Virginia

Profile Details

NPI number 1962499921
LBN Legal business name Newman, Keith M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Mar 27th, 2014 - about 10 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 1962499921 NPPES
West Virginia MEDICAID 0099501000
West Virginia Other 1386634
West Virginia Other 480006787

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