Rawls, Keith Martin

Rawls, Keith Martin is an individual health care provider with primary practice located at 3540 Westover Rd Apt A , Fort Sheridan IL 60037-1004. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Rawls, Keith Martin can be contacted via phone (847) 788-4382.

Contact Information

Primary practice address
3540 Westover Rd Apt A Fort Sheridan IL 60037-1004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1871797514
LBN Legal business name Rawls, Keith Martin
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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