Weissinger, Keith Allen
Weissinger, Keith Allen is an individual health care provider with primary practice located at 7424 Bridgeport Way W Suite 103, Lakewood WA 98499-8120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Weissinger, Keith Allen can be contacted via phone (253) 581-2111.Contact Information
Primary practice address
7424 Bridgeport Way W Suite 103
Lakewood WA 98499-8120
Phone: (253) 581-2111
Fax: (253) 581-2712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00030882 | Washington |
Profile Details
| NPI number | 1255347910 |
|---|---|
| LBN Legal business name | Weissinger, Keith Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Aug 17th, 2011 - about 13 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 | 1255347910 | NPPES |
| Washington | Other | 187470 | LABOR & INDUSTRY |
| Washington | Other | 8925990 | LABOR & INDUSTRY |
| Washington | MEDICAID | 1082643 | LABOR & INDUSTRY |
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