White, Keith S

White, Keith S is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. White, Keith S can be contacted via phone (801) 662-1900.

Contact Information

Primary practice address
100 N Medical Dr Salt Lake City UT 84113-1103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 274038-1205 Utah

Profile Details

NPI number 1083724066
LBN Legal business name White, Keith S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 17th, 2008 - about 17 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 1083724066 NPPES
Utah Other 1600059 UNITED HEALTHCARE
Utah Other 35834 UNITED HEALTHCARE
Utah Other 47722 UNITED HEALTHCARE
Utah Other 107007081101 UNITED HEALTHCARE
Utah Other 8550895 UNITED HEALTHCARE
Utah Other 870355724WH1 UNITED HEALTHCARE
Utah Other 2341 UNITED HEALTHCARE
Utah Other QM0000027099 UNITED HEALTHCARE

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