Sarbaugh, Keith Alan

Sarbaugh, Keith Alan is an individual health care provider with primary practice located at 2951 Maple Ave. , Zanesville OH 43701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sarbaugh, Keith Alan can be contacted via phone (513) 672-3309.

Contact Information

Primary practice address
2951 Maple Ave. Zanesville OH 43701
Phone: (513) 672-3309
Fax: (513) 672-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 123786 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.00495-NA Ohio

Profile Details

NPI number 1285619122
LBN Legal business name Sarbaugh, Keith Alan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 5th, 2010 - about 15 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 1285619122 NPPES
Ohio MEDICAID 0690186
Ohio Other 430046112

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