Keel, M Bert
Keel, M Bert is an sole proprietor health care provider with primary practice located at 304 N 2Nd St , Bay St Louis MS 39520-4538. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Keel, M Bert can be contacted via phone (228) 467-5577.Contact Information
Primary practice address
304 N 2Nd St
Bay St Louis MS 39520-4538
Phone: (228) 467-5577
Fax: (228) 467-0468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1933-81 | Mississippi |
Profile Details
| NPI number | 1578655767 |
|---|---|
| LBN Legal business name | Keel, M Bert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578655767 | NPPES |
| Mississippi | Other | 640701713 | TAX IDENTIFICATION NUMBER |
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