Patel, Ketan R
Patel, Ketan R is an individual health care provider with primary practice located at 10 E Main St Suite A, Millville NJ 08332-4293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Patel, Ketan R can be contacted via phone (856) 825-5932.Contact Information
Primary practice address
10 E Main St Suite A
Millville NJ 08332-4293
Phone: (856) 825-5932
Fax: (856) 825-4819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA6269600 | New Jersey |
Profile Details
| NPI number | 1164508867 |
|---|---|
| LBN Legal business name | Patel, Ketan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Apr 20th, 2012 - about 14 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 | 1164508867 | NPPES |
| New Jersey | MEDICAID | 6645801 |
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