Keith, Spurgeon
Keith, Spurgeon is an individual health care provider with primary practice located at 2001 Vail Ave , Charlotte NC 28207-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Keith, Spurgeon can be contacted via phone (704) 379-5956.Contact Information
Primary practice address
2001 Vail Ave
Charlotte NC 28207-1219
Phone: (704) 379-5956
Fax: (704) 379-6218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0034057 | North Carolina |
Profile Details
| NPI number | 1801885728 |
|---|---|
| LBN Legal business name | Keith, Spurgeon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801885728 | NPPES |
| South Carolina | MEDICAID | N34057 | |
| South Carolina | MEDICAID | 8948022 |
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