Martin, Keith Blaine
Martin, Keith Blaine is an sole proprietor health care provider with primary practice located at 285 Ne Midway Blvd Ste 7 , Oak Harbor WA 98277-2699. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Martin, Keith Blaine can be contacted via phone (360) 672-9898.Contact Information
Primary practice address
285 Ne Midway Blvd Ste 7
Oak Harbor WA 98277-2699
Phone: (360) 672-9898
Fax: (844) 389-4333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3047 | Massachusetts |
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034846 | Washington |
Profile Details
| NPI number | 1770569923 |
|---|---|
| LBN Legal business name | Martin, Keith Blaine |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Dec 8th, 2021 - about 5 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 | 1770569923 | NPPES |
| Washington | Other | 6757MA | REGENCE BLUE SHIELD |
| Washington | Other | 0226757 | REGENCE BLUE SHIELD |
| Washington | MEDICAID | 2034031 | REGENCE BLUE SHIELD |
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