Ritchie, Keith Bacon
Ritchie, Keith Bacon is an sole proprietor health care provider with primary practice located at 76 Pleasant St , South Yarmouth MA 02664-4547. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ritchie, Keith Bacon can be contacted via phone (508) 760-5318.Contact Information
Primary practice address
76 Pleasant St
South Yarmouth MA 02664-4547
Phone: (508) 760-5318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1613 | Massachusetts |
Profile Details
| NPI number | 1104390921 |
|---|---|
| LBN Legal business name | Ritchie, Keith Bacon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2019 |
| Last updated | Jan 15th, 2019 - about 7 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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