Laferriere, Keith A
Laferriere, Keith A is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 120, Springfield MO 65804-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Laferriere, Keith A can be contacted via phone (417) 887-3223.Contact Information
Primary practice address
1965 S Fremont Ave Suite 120
Springfield MO 65804-2201
Phone: (417) 887-3223
Fax: (417) 820-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R4691 | Missouri |
Profile Details
| NPI number | 1790824480 |
|---|---|
| LBN Legal business name | Laferriere, Keith A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 11th, 2008 - about 18 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 | 1790824480 | NPPES |
| Arkansas | Other | 81712 | ARK BLUE SHIELD |
| Arkansas | MEDICAID | 200926608 | ARK BLUE SHIELD |
| Arkansas | Other | 22506 | ARK BLUE SHIELD |
| Arkansas | MEDICAID | 107929001 | ARK BLUE SHIELD |
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