Keith, Jeanette N
Keith, Jeanette N is an individual health care provider with primary practice located at 1208 Somerville Rd Se , Decatur AL 35601-4335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Keith, Jeanette N can be contacted via phone (256) 973-2700.Contact Information
Primary practice address
1208 Somerville Rd Se
Decatur AL 35601-4335
Phone: (256) 973-2700
Fax: (256) 686-3342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036098638 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 27942 | Alabama |
Profile Details
| NPI number | 1124180674 |
|---|---|
| LBN Legal business name | Keith, Jeanette N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | May 5th, 2020 - about 5 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 | 1124180674 | NPPES |
| Illinois | MEDICAID | 036098638 | |
| Illinois | MEDICAID | 147364 |
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