Pearson, William Keith
Pearson, William Keith is an individual health care provider with primary practice located at 40 N Kingshighway Blvd Apt 4L , Saint Louis MO 63108-1350. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pearson, William Keith can be contacted via phone (314) 367-5820.Contact Information
Primary practice address
40 N Kingshighway Blvd Apt 4L
Saint Louis MO 63108-1350
Phone: (314) 367-5820
Fax: (314) 367-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 014703 | Missouri |
Profile Details
| NPI number | 1699776153 |
|---|---|
| LBN Legal business name | Pearson, William Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 29th, 2015 - about 11 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 | 1699776153 | NPPES |
| Missouri | MEDICAID | 402458855 |
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