Johnson, Keegan

Johnson, Keegan is an individual health care provider with primary practice located at 1565 N Main St Ste 406, Fall River MA 02720-2972. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Johnson, Keegan can be contacted via phone (508) 730-2020.

Contact Information

Primary practice address
1565 N Main St Ste 406 Fall River MA 02720-2972
Phone: (508) 730-2020
Fax: (508) 677-0975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT188093 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D70263 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD13803 Rhode Island

Profile Details

NPI number 1861542532
LBN Legal business name Johnson, Keegan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jan 27th, 2012 - about 13 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 1861542532 NPPES
Maryland MEDICAID 036679000

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