Shillito, Keith Westley

Shillito, Keith Westley is an sole proprietor health care provider with primary practice located at 905 Fiesta , Parker AZ 85344-5152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Shillito, Keith Westley can be contacted via phone (928) 669-2225.

Contact Information

Primary practice address
905 Fiesta Parker AZ 85344-5152
Phone: (928) 669-2225
Fax: (928) 669-6751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 32755 Arizona

Profile Details

NPI number 1417954850
LBN Legal business name Shillito, Keith Westley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Feb 26th, 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 1417954850 NPPES
Arizona MEDICAID 862690
Arizona MEDICAID ZP03006701
Arizona MEDICAID 480046

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