Colomb, Keith A

Colomb, Keith A is an sole proprietor health care provider with primary practice located at 200 Beaullieu Dr. Bldg #5, Lafayette LA 70508-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Colomb, Keith A can be contacted via phone (337) 267-4336.

Contact Information

Primary practice address
200 Beaullieu Dr. Bldg #5 Lafayette LA 70508-0000
Phone: (337) 267-4336
Fax: (337) 267-4167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD019858 Louisiana

Profile Details

NPI number 1265401582
LBN Legal business name Colomb, Keith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Nov 12th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265401582 NPPES
Louisiana MEDICAID 1388122

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