Churchill, Keith Alan
Churchill, Keith Alan is an sole proprietor health care provider with primary practice located at 615 16Th St Sw , Rochester MN 55902-2123. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Churchill, Keith Alan can be contacted via phone (507) 288-2539.Contact Information
Primary practice address
615 16Th St Sw
Rochester MN 55902-2123
Phone: (507) 288-2539
Fax: (507) 288-9230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6951D | Minnesota |
Profile Details
| NPI number | 1558401505 |
|---|---|
| LBN Legal business name | Churchill, Keith Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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