Smith, Keith Patrick
Smith, Keith Patrick is an sole proprietor health care provider with primary practice located at 901 Leighton Ave Suite 705, Anniston AL 36207-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Keith Patrick can be contacted via phone (256) 231-1322.Contact Information
Primary practice address
901 Leighton Ave Suite 705
Anniston AL 36207-5700
Phone: (256) 231-1322
Fax: (256) 231-1324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25784 | Alabama |
Profile Details
| NPI number | 1215909825 |
|---|---|
| LBN Legal business name | Smith, Keith Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jun 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215909825 | NPPES |
| Alabama | MEDICAID | 107338 | |
| Alabama | Other | 048155 |
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