Ketcham, William Stewart

Ketcham, William Stewart is an individual health care provider with primary practice located at 501 Health Park Dr Ste 150, Garner NC 27529-7051. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Ketcham, William Stewart can be contacted via phone (919) 772-3487.

Contact Information

Primary practice address
501 Health Park Dr Ste 150 Garner NC 27529-7051
Phone: (919) 772-3487
Fax: (919) 772-3446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 29605 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 29605 North Carolina
Other Service Providers / Specialist 174400000X 29605 North Carolina

Profile Details

NPI number 1093866006
LBN Legal business name Ketcham, William Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 5th, 2020 - about 6 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 1093866006 NPPES
North Carolina Other 070014474 RR MEDICARE
North Carolina Other 30499 RR MEDICARE
North Carolina Other 4510902 RR MEDICARE
North Carolina Other 3330875-004 RR MEDICARE
North Carolina Other 95508 RR MEDICARE
North Carolina Other 0273L RR MEDICARE
North Carolina Other 48795 RR MEDICARE
North Carolina Other 562147357 RR MEDICARE
North Carolina Other 290649 RR MEDICARE

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