Wilcox, Keith
Wilcox, Keith is an individual health care provider with primary practice located at 713 S 42Nd St , Mt Vernon IL 62864. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilcox, Keith can be contacted via phone (618) 244-9666.Contact Information
Primary practice address
713 S 42Nd St
Mt Vernon IL 62864
Phone: (618) 244-9666
Fax: (618) 244-9986
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
NPI number | 1275654618 |
---|---|
LBN Legal business name | Wilcox, Keith |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jul 8th, 2007 - 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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