Gatlin, Keith A
Gatlin, Keith A is an individual health care provider with primary practice located at 766 Hartness Rd , Statesville NC 28677-3425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gatlin, Keith A can be contacted via phone (704) 873-7850.Contact Information
Primary practice address
766 Hartness Rd
Statesville NC 28677-3425
Phone: (704) 873-7850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 28031 | North Carolina |
Profile Details
| NPI number | 1669464160 |
|---|---|
| LBN Legal business name | Gatlin, Keith A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 27th, 2012 - about 14 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 | 1669464160 | NPPES |
| North Carolina | MEDICAID | 8934957 |
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