Stewart, Keith D

Stewart, Keith D is an sole proprietor health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stewart, Keith D can be contacted via phone (618) 993-4109.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 993-4109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-020295 Illinois

Profile Details

NPI number 1841277696
LBN Legal business name Stewart, Keith D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Dec 21st, 2016 - about 8 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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