Christmon, Keith W
Christmon, Keith W is an individual health care provider with primary practice located at 1627 W Big Beaver Rd , Troy MI 48084-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Christmon, Keith W can be contacted via phone (248) 220-1560.Contact Information
Primary practice address
1627 W Big Beaver Rd
Troy MI 48084-3501
Phone: (248) 220-1560
Fax: (248) 220-1563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | KC067976 | Michigan |
Profile Details
| NPI number | 1821096629 |
|---|---|
| LBN Legal business name | Christmon, Keith W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Apr 14th, 2020 - about 5 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 | 1821096629 | NPPES |
| Michigan | Other | 0806334351 | BCBS BCN |
| Michigan | Other | 080189691 | BCBS BCN |
| Michigan | Other | 0806366101 | BCBS BCN |
| Michigan | MEDICAID | 4469855 | BCBS BCN |
| Michigan | Other | 0806366101 | BCBS BCN |
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