Thomas, Keith Jay

Thomas, Keith Jay is an individual health care provider with primary practice located at 170 Ford Rd , John Day OR 97845-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, Keith Jay can be contacted via phone (541) 575-1311.

Contact Information

Primary practice address
170 Ford Rd John Day OR 97845-2009
Phone: (541) 575-1311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD26271 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X C51666 California

Profile Details

NPI number 1184792509
LBN Legal business name Thomas, Keith Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1184792509 NPPES
Oregon MEDICAID 027967

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