Blair, Keith David
Blair, Keith David is an sole proprietor health care provider with primary practice located at 725 N Sandusky Ave , Bucyrus OH 44820-1463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blair, Keith David can be contacted via phone (419) 562-7676.Contact Information
Primary practice address
725 N Sandusky Ave
Bucyrus OH 44820-1463
Phone: (419) 562-7676
Fax: (419) 562-8469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-03-7333B | Ohio |
Profile Details
| NPI number | 1508968041 |
|---|---|
| LBN Legal business name | Blair, Keith David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2006 |
| Last updated | May 10th, 2010 - about 16 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 | 1508968041 | NPPES |
| Ohio | MEDICAID | 0246335 |
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