Keys, Clyde A.

Keys, Clyde A. is an sole proprietor health care provider with primary practice located at 340 Nw Medical Loop , Roseburg OR 97471-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keys, Clyde A. can be contacted via phone (541) 677-6599.

Contact Information

Primary practice address
340 Nw Medical Loop Roseburg OR 97471-1645
Phone: (541) 677-6599
Fax: (547) 677-6576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18437 Oregon

Profile Details

NPI number 1952300881
LBN Legal business name Keys, Clyde A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Dec 30th, 2014 - about 11 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 1952300881 NPPES
Oregon MEDICAID 056957
Oregon Other R0000WCYBS

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