Wiedrich, Keith Allen

Wiedrich, Keith Allen is an individual health care provider with primary practice located at 1107 7Th St. S. Msu Moorhead - Athletics, Moorhead MN 56563. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wiedrich, Keith Allen can be contacted via phone (218) 477-2626.

Contact Information

Primary practice address
1107 7Th St. S. Msu Moorhead - Athletics Moorhead MN 56563
Phone: (218) 477-2626
Fax: (218) 477-5943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1356378848
LBN Legal business name Wiedrich, Keith Allen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 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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