MR. KEITH E LIPTOCK NPI 1184334906

NPI Information

NPI: 1184334906
Provider Name: MR. KEITH E LIPTOCK
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
1304 FRANKLIN AVE
NORMAL, IL
ZIP 61761
Phone: (309) 454-1400
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MR. Keith E Liptock is an electroneurodiagnostic specialist technologist other in Normal, IL. MR. Keith E Liptock NPI is 1184334906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1304 FRANKLIN AVE
NORMAL, IL
ZIP 61761-558
Phone: (309) 454-1400

The enumeration date for this NPI number is 12/2/2022 and was last updated on 12/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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