Minnich, Keith Alan

Minnich, Keith Alan is an individual health care provider with primary practice located at 6Th Ave & Spruce St , West Reading PA 19611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Minnich, Keith Alan can be contacted via phone (610) 988-8589.

Contact Information

Primary practice address
6Th Ave & Spruce St West Reading PA 19611
Phone: (610) 988-8589
Fax: (610) 988-5976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD042670E Pennsylvania

Profile Details

NPI number 1013979145
LBN Legal business name Minnich, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated May 5th, 2017 - about 8 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 1013979145 NPPES
Pennsylvania MEDICAID 0012407270001

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