Ota, Keith K

Ota, Keith K is an sole proprietor health care provider with primary practice located at 10570 Twin Cities Rd , Galt CA 95632-8874. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ota, Keith K can be contacted via phone (209) 744-1380.

Contact Information

Primary practice address
10570 Twin Cities Rd Galt CA 95632-8874
Phone: (209) 744-1380
Fax: (209) 744-1388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 29178 California

Profile Details

NPI number 1386935617
LBN Legal business name Ota, Keith K
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 15 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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