Keith, John Edmond

Keith, John Edmond is an individual health care provider with primary practice located at 303 E Wood St , Spartanburg SC 29303-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Keith, John Edmond can be contacted via phone (864) 208-8800.

Contact Information

Primary practice address
303 E Wood St Spartanburg SC 29303-3020
Phone: (864) 208-8800
Fax: (864) 208-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12526 South Carolina

Profile Details

NPI number 1588615041
LBN Legal business name Keith, John Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 26th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588615041 NPPES
South Carolina MEDICAID TL2654

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