Thibault, Keith M.

Thibault, Keith M. is an individual health care provider with primary practice located at 275 W Macarthur , Oakland CA 94611-5641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Thibault, Keith M. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5122 California

Profile Details

NPI number 1013078674
LBN Legal business name Thibault, Keith M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 14th, 2014 - about 12 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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