Eveland, Keith Ware
Eveland, Keith Ware is an sole proprietor health care provider with primary practice located at 111 Bow St , Portsmouth NH 03801-3838. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Eveland, Keith Ware can be contacted via phone (603) 433-5677.Contact Information
Primary practice address
111 Bow St
Portsmouth NH 03801-3838
Phone: (603) 433-5677
Fax: (603) 433-6279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 1219 | New Hampshire |
Profile Details
| NPI number | 1235274812 |
|---|---|
| LBN Legal business name | Eveland, Keith Ware |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235274812 | NPPES |
| New Hampshire | MEDICAID | 89191631 |
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