Shute, Keith
Shute, Keith is an individual health care provider with primary practice located at 59 Page Hill Rd , Berlin NH 03570-3531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shute, Keith can be contacted via phone (603) 752-2900.Contact Information
Primary practice address
59 Page Hill Rd
Berlin NH 03570-3531
Phone: (603) 752-2900
Fax: (603) 752-3727
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9083 | New Hampshire |
Profile Details
NPI number | 1588666267 |
---|---|
LBN Legal business name | Shute, Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Mar 7th, 2023 - about 2 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 | 1588666267 | NPPES |
New Hampshire | Other | 9083 | STATE LICENSE # |
New Hampshire | Other | 0109410YPNH02 | STATE LICENSE # |
New Hampshire | MEDICAID | 3072597 | STATE LICENSE # |
New Hampshire | Other | RE7915 | STATE LICENSE # |
New Hampshire | MEDICAID | 99003818 | STATE LICENSE # |
New Hampshire | Other | RE289602 | STATE LICENSE # |
New Hampshire | Other | 3626045001 | STATE LICENSE # |
New Hampshire | Other | 5830418 | STATE LICENSE # |
New Hampshire | Other | P00100702 | STATE LICENSE # |
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