Keefe, Brian M

Keefe, Brian M is an individual health care provider with primary practice located at 25 Stanford St Plaza Level Erich Lindemann Mental Health Center, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Keefe, Brian M can be contacted via phone (617) 724-6004.

Contact Information

Primary practice address
25 Stanford St Plaza Level Erich Lindemann Mental Health Center Boston MA 02114-2696
Phone: (617) 724-6004
Fax: (617) 626-8669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 208702 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 208702 Massachusetts

Profile Details

NPI number 1154397289
LBN Legal business name Keefe, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Feb 14th, 2011 - about 15 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 1154397289 NPPES
Massachusetts MEDICAID 0183440
Massachusetts Other 453167
Massachusetts Other J25501

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