Perrine, Keith

Perrine, Keith is an sole proprietor health care provider with primary practice located at 5250 Far Hills Ave 110, Dayton OH 45429-2382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Perrine, Keith can be contacted via phone (937) 432-9810.

Contact Information

Primary practice address
5250 Far Hills Ave 110 Dayton OH 45429-2382
Phone: (937) 432-9810
Fax: (937) 432-9815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME84583 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35.051583 Ohio

Profile Details

NPI number 1720198112
LBN Legal business name Perrine, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720198112 NPPES
Florida MEDICAID 263826600

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