Keith, Philip Anthony

Keith, Philip Anthony is an individual health care provider with primary practice located at 1001 E Beltline Ave Ne , Grand Rapids MI 49525-5803. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Keith, Philip Anthony can be contacted via phone (616) 831-7006.

Contact Information

Primary practice address
1001 E Beltline Ave Ne Grand Rapids MI 49525-5803
Phone: (616) 831-7006
Fax: (616) 222-1542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1578593711
LBN Legal business name Keith, Philip Anthony
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
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.

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