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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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