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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1255347910 NPPES
Washington Other 187470 LABOR & INDUSTRY
Washington Other 8925990 LABOR & INDUSTRY
Washington MEDICAID 1082643 LABOR & INDUSTRY

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