Wisniewski, Keith Wayne

Wisniewski, Keith Wayne is an sole proprietor health care provider with primary practice located at 2202 Ithaca Ave , Lubbock TX 79410-1332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wisniewski, Keith Wayne can be contacted via phone (806) 797-1202.

Contact Information

Primary practice address
2202 Ithaca Ave Lubbock TX 79410-1332
Phone: (806) 797-1202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M5588 Texas

Profile Details

NPI number 1588792741
LBN Legal business name Wisniewski, Keith Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jun 5th, 2020 - about 4 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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