Starkweather, Keith David

Starkweather, Keith David is an individual health care provider with primary practice located at 980 Professional Park Dr. Suite A, Clarksville TN 37040-5251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Starkweather, Keith David can be contacted via phone (931) 905-1001.

Contact Information

Primary practice address
980 Professional Park Dr. Suite A Clarksville TN 37040-5251
Phone: (931) 905-1001
Fax: (931) 905-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD28019 Tennessee

Profile Details

NPI number 1407859598
LBN Legal business name Starkweather, Keith David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407859598 NPPES
Tennessee MEDICAID 3801399
Tennessee Other 200026367

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