Ingram, Keith E

Ingram, Keith E is an individual health care provider with primary practice located at 6830 S Us Highway 1 , Port St Lucie FL 34952-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ingram, Keith E can be contacted via phone (772) 873-6700.

Contact Information

Primary practice address
6830 S Us Highway 1 Port St Lucie FL 34952-1410
Phone: (772) 873-6700
Fax: (772) 465-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME46955 Florida

Profile Details

NPI number 1740235878
LBN Legal business name Ingram, Keith E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 20th, 2013 - about 13 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 1740235878 NPPES
Florida Other 08630 BLUE CROSS BLUE SHIELD
Florida Other P00614586 BLUE CROSS BLUE SHIELD
Florida MEDICAID 007276900 BLUE CROSS BLUE SHIELD

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