Rae, Keith William
Rae, Keith William is an sole proprietor health care provider with primary practice located at 39 Cross St Suite 109, Peabody MA 01960-1670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Rae, Keith William can be contacted via phone (978) 741-9004.Contact Information
Primary practice address
39 Cross St Suite 109
Peabody MA 01960-1670
Phone: (978) 741-9004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 74679 | Massachusetts |
Profile Details
| NPI number | 1437137643 |
|---|---|
| LBN Legal business name | Rae, Keith William |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Mar 6th, 2015 - about 9 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 | 1437137643 | NPPES |
| Massachusetts | MEDICAID | 3081150 |
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